LARA CORBETT WILSON


Address: 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787
Phone: 8438845133

LARA CORBETT WILSON (NPI# 1649233412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649233412
Entity Type Individual
Full Name LARA CORBETT WILSON
Other Name LARA LOU CORBETT
Credential MD
Practice Address 851 Leonard Fulghum Blvd
Suite 201
Mt Pleasant
SC 29464-3787
Practice Telephone 8438845133
Practice Fax Number 8438493343
Mailing Telephone 8438845133
Mailing Fax Number 8438493343
Enumeration Date 2006-04-11
Last Update Date 2014-08-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 20495 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC T42692 05

Other Providers LARA WILSON

NPI Name Taxonomy Address Enumeration
1427370345 Lara Noel Wilson Nurse Anesthetist, Certified Registered 68 West Dominion Boulevard, Columbus, OH 43214 2010-02-19
1780188771 Lara Jean Wilson Student in an Organized Health Care Education/Training Program 1401 Madison St Ste 100, Seattle, WA 98104-1316 2018-03-22
1730573122 Lara S. Wilson Nurse Practitioner 6675 Holmes Rd, Ste 550, Kansas City, MO 64131-1150 2015-03-24
1982726329 Lara Jean Wilson Marriage & Family Therapist 592 Rio Lindo Ave, Chico, CA 95926-1817 2007-04-05

Office Location

Street Address 851 LEONARD FULGHUM BLVD
SUITE 201
City MT PLEASANT
State SC
Zip Code 29464-3787

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720049414 Lynn W Crymes Obstetrics & Gynecology 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 2006-03-31
1427484245 East Cooper Obgyn, LLC Obstetrics & Gynecology 851 Leonard Fulghum Blvd, Suite 200, Mt Pleasant, SC 29464-3787 2013-09-25
1558698621 Tenet South Carolina Lowcountry Ob Gyn, LLC Obstetrics & Gynecology 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 2009-11-11
1053568428 Southern Orthopedics and Sports Medicine, LLC Emergency Medicine 851 Leonard Fulghum Blvd, Suite 101, Mt Pleasant, SC 29464-3787 2008-08-27
1235285859 Natalie Gregory Obstetrics & Gynecology 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 2007-01-26
1932112604 Amy S Warner Specialist 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 2006-08-14
1598777864 Brodie Eden Mckoy Orthopaedic Surgery 851 Leonard Fulghum Blvd, Suite 101, Mt Pleasant, SC 29464-3787 2006-08-13
1336156405 Carl David Geier Jr. Orthopaedic Surgery 851 Leonard Fulghum Blvd, Suite 101, Mt Pleasant, SC 29464-3787 2006-08-02
1740201805 Harold Del Schutte Jr. Orthopaedic Surgery 851 Leonard Fulghum Blvd, Suite 101, Mt Pleasant, SC 29464-3787 2006-07-22
1003832155 Maggie Wolman Evans Obstetrics & Gynecology 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 2006-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811548241 Bradley Paul Anuszkiewicz Chiropractor 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 2019-09-26
1447808696 Laura Mariah Crouse Speech-Language Pathologist Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 2019-08-30
1912461807 Independent Optical Optometrist 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 2019-01-25
1417446204 Michael Adam Sugarman Clinical Neuropsychologist 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 2018-05-07
1578064192 Ancillary Specialists LLC Durable Medical Equipment & Medical Supplies 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 2018-02-28
1346769015 Christin Solomon Zerega Counselor Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 2017-09-14
1336660315 Charleston Neuropsychology LLC Psychologist 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 2017-06-29
1790219970 Adam Hudepohl Family Medicine 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 2017-04-14
1386181204 Alicia Taylor Speech-Language Pathologist 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 2017-01-30
1285181941 Tara Lynn Mast Physical Therapist 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 2016-09-09
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740297993 Antonio P Reyes Obstetrics & Gynecology 2005 N Jefferson Ave, Mt Pleasant, TX 75455-2336 2006-08-01
1861499295 Christian Smith Cook Obstetrics & Gynecology 851 Leonard Fulghum Dr, Suite 200, Mt Pleasant, SC 29464-3787 2005-06-30
1427484245 East Cooper Obgyn, LLC Obstetrics & Gynecology 851 Leonard Fulghum Blvd, Suite 200, Mt Pleasant, SC 29464-3787 2013-09-25
1245591403 Lindsay Denise Foley Obstetrics & Gynecology 3510 N Highway 17 Ste 225, Mt Pleasant, SC 29466-8233 2012-06-05
1558698621 Tenet South Carolina Lowcountry Ob Gyn, LLC Obstetrics & Gynecology 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 2009-11-11
1902047236 Roper Saint Francis Physicians Network Obstetrics & Gynecology 570 Long Point Rd, Suite 130, Mt Pleasant, SC 29464-7930 2009-03-17
1760673917 Lauri Wilkes Bullen Obstetrics & Gynecology 3510 N Highway 17 Ste 225, Mt Pleasant, SC 29466-8233 2007-08-05
1235285859 Natalie Gregory Obstetrics & Gynecology 851 Leonard Fulghum Blvd, Suite 201, Mt Pleasant, SC 29464-3787 2007-01-26
1912082595 Meghan E.r. Lynch Obstetrics & Gynecology 3510 Highway 17 N, Ste 225, Mt Pleasant, SC 29466-8227 2006-10-25
1558443994 Gratiot Medical Center Obstetrics & Gynecology 1970 Ashland Dr, Mt Pleasant, MI 48858-1219 2006-10-19
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City MT PLEASANT
Zip Code 29464

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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