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Contact Information

MARY VIRGINIA G LUCAS, APRN, FNP-C, PMHNP
401 WITSELL ST
WALTERBORO, SC29488-3052
 Phone: 843-549-5546
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY VIRGINIA G LUCAS · (Female)

NPI Number 1255732798
Status Active
Credentials APRN, FNP-C, PMHNP
Entity Individual
Enumeration date 09/15/2014
Last updated 01/02/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • SC License # 19050
Hospital affiliation(s)
  • COLLETON MEDICAL CENTER - (Acute Care)
    501 ROBERTSON BOULEVARD
    WALTERBORO, SC 29488
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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