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Mary Lou Korpon, CPNP
Pediatric Nurse Practitioner in Summerville, South Carolina
NPI 1417936642

Mary Lou Korpon is a Pediatric Nurse Practitioner based in Summerville, SC and is specialized in Pediatrics. Mary Lou Korpon practices in Summerville, SC and has the professional credentials of CPNP. The NPI Number for Mary Lou Korpon is 1417936642 and holds a License No. APN486 (South Carolina).

The current practice location address for Mary Lou Korpon is 202 Bentons Lodge Rd, Summerville, SC and can be reached out via phone at 843-871-2588 and via fax at 843-871-1664.

Location: 202 Bentons Lodge Rd, Summerville, SC, 29485-6322
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Provider Profile Details
NPI Number
1417936642
Provider Name
Mary Lou Korpon
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
202 Bentons Lodge Rd, Summerville, SC, 29485-6322
Phone Number
843-871-2588
Fax Number
843-871-1664
Provider Enumeration Date
01/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP0187 05 SC
institution
Provider Business Practice Location Address Details
Address
202 Bentons Lodge Rd
City
State
Zip
29485-6322
Phone Number
843-871-2588
Fax Number
843-871-1664
person
Provider Business Mailing Address Details
Address
202 Bentons Lodge Rd
City
State
Zip
29485-6322
Phone Number
843-871-2588
Fax Number
843-871-1664
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
APN486 (South Carolina)
Definition
Definition to come...
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