Individual
KARINA NICOLLE PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4520 BROAD ST, LORIS, SC 29569-2422
(843) 756-0959
Mailing address
1240 MIDTOWN VILLAGE DR, CONWAY, SC 29526-2947
(607) 768-1214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24952
SC
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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