Korpon, Mary Lou
Korpon, Mary Lou is an individual health care provider with primary practice located at 202 Bentons Lodge Rd , Summerville SC 29485-6322. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Korpon, Mary Lou can be contacted via phone (843) 871-2588.Contact Information
Primary practice address
202 Bentons Lodge Rd
Summerville SC 29485-6322
Phone: (843) 871-2588
Fax: (843) 871-1664
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APN486 | South Carolina |
Profile Details
NPI number | 1417936642 |
---|---|
LBN Legal business name | Korpon, Mary Lou |
Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 16th, 2006 |
Last updated | Mar 27th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417936642 | NPPES |
South Carolina | MEDICAID | NP0187 |
Popular Providers
-
Sanford, Cynthia Neoma
101 Oklahoma Ave , Mcalester OK 74501-7520 -
Metcalf, Sharon C
555 S Floyd St , Louisville KY 40202-3801 -
Segelken, Hazel Gramling
312 Midland Pkwy , Summerville SC 29485-8102 -
Friedman, Lisa Amy
333 N Santa Rosa , San Antonio TX 78207-3108 -
Bertram, Sarah
2016 1St Ave , Summerville SC 29486-0408 -
Sharp, Kelley J
207 E Rickert Ave , Dickson TN 37055-1333 -
Backus, Kathryn
2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569 -
Mcallister, Amanda
1341 College Park Rd Ste A , Summerville SC 29486