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MARY HARGROVE
NPI 1215460480
Licensed Practical Nurse in Latta, SC

Active since April 05, 2017
312 BLOSSOM CT, LATTA, SC 29565(843) 506-4008(843) 627-3673 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Hargrove NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY HARGROVE (NPI 1215460480) is an individual licensed practical nurse in Latta, South Carolina, licensed in South Carolina (P34448) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1215460480
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY HARGROVE
Location Address312 BLOSSOM CTLatta, SC 29565-4524
Mailing Address312 Blossom CtLatta, SC 29565-4524 · (843) 506-4008 · Fax (843) 627-3673
Phone(843) 506-4008
Fax(843) 627-3673
Sole ProprietorNo
Enumeration DateApril 5, 2017
✔ NPI 1215460480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in SC · P34448
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

312 BLOSSOM CT, Latta, SC 29565
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Hargrove's NPI number?

The NPI number for Mary Hargrove is 1215460480. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Mary Hargrove located?

Mary Hargrove practices at 312 Blossom Ct, Latta, SC 29565. The listed phone number is (843) 506-4008.

What is Mary Hargrove's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mary Hargrove was last updated on April 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.