Arthur, Jack Parks

Arthur, Jack Parks is an individual health care provider with primary practice located at 1330 Boiling Springs Rd Ste 1600 , Spartanburg SC 29303-4219. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Arthur, Jack Parks can be contacted via phone (864) 583-2662.

Contact Information

Primary practice address
1330 Boiling Springs Rd Ste 1600 Spartanburg SC 29303-4219
Phone: (864) 583-2662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4227 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1922763069
LBN Legal business name Arthur, Jack Parks
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2021
Last updated Apr 4th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922763069 NPPES
South Carolina Other SCL8957628 MEDICARE PIN
South Carolina MEDICAID 4927PA MEDICARE PIN

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