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

Lara Corbett Wilson, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1649233412

Lara Corbett Wilson, MD is an Obstetrics/Gynecology in Mt Pleasant, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 1994, 32 years ago. Practices with East Cooper Physician Group LLC, a 116-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
32
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

851 Leonard Fulghum Blvd Ste 201
Mt Pleasant, SC 29464-3787
Phone: (843) 884-5133
Fax: (843) 849-3343
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 20495 (SC)

Record details

NPI number1649233412
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2006
Last updated in NPPESAugust 15, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice East Cooper Physician Group Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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