Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caroline Grace Pennington

Individual provider Physician Assistant · NPI 1730074725

Caroline Grace Pennington is a Physician Assistant in Lake Wylie, South Carolina. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

4573 Island Forks Rd
Lake Wylie, SC 29710-8040
Phone: (704) 860-2142
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1730074725
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

Other providers in Lake Wylie