Mary Hargrove, is a
Licensed Practical Nurse based in Latta, South Carolina. Mary Hargrove is licensed to practice in South Carolina (license number P34448) and her current practice location is
312 Blossom Ct, Latta, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 506-4008.
NPI number for Mary Hargrove is 1215460480 and her current mailing address is 312 Blossom Ct, Latta, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215460480.
Provider's Profile
| Full Name | Mary Hargrove |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 312 Blossom Ct, Latta, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215460480
- Provider Enumeration Date: 04/05/2017
- Last Update Date: 04/05/2017
Medical Identifiers
Medical identifiers for Mary Hargrove such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215460480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | P34448 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Hargrove is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Hargrove,
312 Blossom Ct,
Latta, SC 29565-4524
Ph: (843) 506-4008 | Mary Hargrove,
312 Blossom Ct,
Latta, SC 29565-4524
Ph: (843) 506-4008 |
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