Individual
MRS. MARY KATHRYN O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
116 BASKERVILL DR, PAWLEYS ISLAND, SC 29585-6013
(843) 237-2672
(843) 237-0369
Mailing address
116 BASKERVILL DR, PAWLEYS ISLAND, SC 29585-6013
(843) 237-2672
(843) 237-0369
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN 40
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN 40
APRN
SC
Enumeration date
01/24/2007
Last updated
07/08/2007
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