SearchSouth Carolina225100000X

Bernum Ashley

NPI 1932492535 · on the registry since 2011 · sole proprietor

Practice

Address
125 Mallard Dr
Moore, SC 29369
Phone
(864) 486-9585

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina