Individual ProviderTerry B LupoRegistered NurseNursing Service ProvidersPractice Address4542 Simms Ave, N Charleston, SC 29405-5256(843) 529-4616(843) 856-9246PECOS EnrollmentBased on the most recent information from CMS, provider Terry B Lupo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:07 PM.Profile DetailsProvider ID1598100455Provider TypeIndividualFull NameLupo, Terry BTitleMrs.GenderFemaleSole ProprietorYesEnumeration Date5/6/2013Last Updated5/6/2013Contact InformationPractice LocationPractice Address4542 Simms Ave, N Charleston, SC 29405-5256Phone(843) 529-4616Fax(843) 529-3903Mailing LocationMailing Address2720 Brickmill Ln, Mount Pleasant, SC 29466-7911Phone(843) 856-9246FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163WS0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN.36325South Carolina