Provider Demographics
NPI:1487961470
Name:FROMMEL, BEVERLY (CD)
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:
Last Name:FROMMEL
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 COBBY CREEK CT
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-8558
Mailing Address - Country:US
Mailing Address - Phone:803-322-7462
Mailing Address - Fax:
Practice Address - Street 1:2940 COBBY CREEK CT
Practice Address - Street 2:
Practice Address - City:CLOVER
Practice Address - State:SC
Practice Address - Zip Code:29710-8558
Practice Address - Country:US
Practice Address - Phone:803-322-7462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-12
Last Update Date:2010-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula