MEDICARE: CHLOE GEORGINA PINNER CPNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	30758	SC
2	363LP0200X	Pediatric Nurse Practitioner	5014291	NC

General Provider Information

NPI Number	:	1104491224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE GEORGINA PINNER CPNP

Provider Business Mailing Address
First Line	:	1928 LONDONBERRY DR
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29730-7525
Country	:	US
Telephone Number	:	704-891-5821
Fax Number	:

Provider Business Practice Location Address
First Line	:	704 GOLD HILL RD STE 207
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29715-8907
Country	:	US
Telephone Number	:	803-802-5900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	01/21/2026

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