| Doctor Name: | MS. INGRID PATRICIA PEARSON |
| NPI Number: | 1407945355 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS RN CPNP |
| License Number: | 1003 |
| Business Practice Address: | 120 W Church St Batesburg, SC - 290062107 |
| Business Phone Number: | 8035322208 |
| Business Fax Number: | 8036040207 |
| Mailing Address: | 120 W Church St, BATESBURG-LEESVILLE |
| State: | SC |
| Postal Code: | 290062107 |
| Phone Number: | 8035322208 |
| Fax Number: | 8036040207 |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 03/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 1003 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |