OrganizationActive
Berkeley Medical Center, LLC
NPI 1417137803 · Internal Medicine Physician · Moncks Corner, SC
Provider details
- NPI number
- 1417137803
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rose Gibbs, Medical Doctor(843) 761-1995
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
106 W Main St
Moncks Corner, SC 29461-2601
Phone: (843) 761-1995
Fax: (843) 761-3257
Approximate (ZIP-level) locationGet directions
Mailing address
106 W Main St
Moncks Corner, SC 29461-2601
Registry dates
- Enumerated
- 2007-11-14
- Last updated
- 2016-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.