Individual
MRS. LOU BERNICE MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1762 E MAIN ST, SPARTANBURG, SC 29307-2231
(864) 968-9144
(864) 968-9244
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30040
SC
363LF0000X
Family Nurse Practitioner
30040
SC
363LF0000X
Family Nurse Practitioner
62746
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126989
—
OH
05
—
3810025066
—
WV
05
—
7100350590
—
KY
Enumeration date
10/29/2007
Last updated
08/04/2025
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