Individual
MRS. KRISTY SMITH MOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
116 HOSPITAL SQ, BISHOPVILLE, SC 29010-7081
(803) 484-9424
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 434-1488
(803) 434-1537
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22838
SC
363LF0000X
Family Nurse Practitioner
Primary
22838
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6526
—
SC
Enumeration date
06/20/2019
Last updated
01/26/2021
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