Individual ProviderRandy GreenbergRegistered NurseNursing Service ProvidersPractice Address1087 E Montague Ave, North Charleston, SC 29405-4826(843) 745-7140PECOS EnrollmentBased on the most recent information from CMS, provider Randy Greenberg does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:07 PM.Profile DetailsProvider ID1235355892Provider TypeIndividualFull NameGreenberg, RandyTitleMs.CredentialAPRN, CNMGenderFemaleSole ProprietorNoEnumeration Date4/18/2007Last Updated5/8/2013Contact InformationPractice LocationPractice Address1087 E Montague Ave, North Charleston, SC 29405-4826Phone(843) 745-7140FaxUnlisted FaxMailing LocationMailing Address1087 E Montague Ave, North Charleston, SC 29405-4826Phone(843) 745-7140FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163WS0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense3030South CarolinaCode367A00000XDescriptionAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing ProvidersLicense3030South Carolina