Lori Nicole Stogner, PA-C
Physician Assistant in Myrtle Beach, SC. Individual provider (NPI-1).
NPI number1447921838
StatusActive
Last updated in NPPESNov 4, 2024
Details
- NPI
- 1447921838
- Entity type
- Individual (NPI-1)
- Name
- Lori Nicole Stogner
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2021
- Certification date
- Nov 4, 2024
- Last updated
- Nov 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 4128 | SC | Yes |
Practice location
2761 Agnes LnMyrtle Beach, SC 29577-2029
Phone 843-492-2710 · Fax 843-492-2708
Mailing address
Po Box 749306Atlanta, GA 30374-9306
Other practice locations
1818 Henderson St
Columbia, SC 29201-2619
Columbia, SC 29201-2619
Phone 803-782-4278
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All 90 Physician Assistant providers in Myrtle Beach · All 3,545 providers in Myrtle Beach
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