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Individual

ERICA KOUNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1011 N FRASER ST, GEORGETOWN, SC 29440-2848
(843) 692-1000
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 652-8226

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PENDING
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
04/04/2018
Last updated
03/29/2021
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