Mary Lou Korpon
CPNP | Nurse Practitioner - Pediatrics
202 Bentons Lodge Rd, Summerville
South Carolina, 29485-6322
843-871-2588
Mary Lou Korpon is a Summerville, South Carolina based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Mary Lou Korpon is APN486 for Pediatrics in South Carolina. Her current practice location is 202 Bentons Lodge Rd, Summerville. Patients can reach her at 843-871-2588 or can fax her at 843-871-1664. Mary Lou Korpon is CPNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1417936642.
Mary Lou Korpon specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Mary Lou Korpon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mary Lou Korpon |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | CPNP |
| Practice Address: | 202 Bentons Lodge Rd, Summerville,
South Carolina, 29485-6322 |
| Phone: | 843-871-2588 |
| Fax: | 843-871-1664 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1417936642 |
| NPI Enumeration Date: | 16 Jan, 2006 |
| NPI Last Update On: | 27 Mar, 2017 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Lou Korpon are as mentioned below.
| License Number | Specialization | State | Status | |
| APN486 | Pediatrics | South Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Lou Korpon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| NP0187 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mary Lou Korpon
202 Bentons Lodge Rd,
Summerville, South Carolina |
| Zip: | 29485-6322 |
| Phone Number: | 843-871-2588 |
| Fax Number: | 843-871-1664 |
Patients can reach Mary Lou Korpon at
202 Bentons Lodge Rd, Summerville, South Carolina or can
call to book an appointment on 843-871-2588.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.