Parker, Mallory

Parker, Mallory is an individual health care provider with primary practice located at 2720 Sunset Blvd , West Columbia SC 29169-4810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Parker, Mallory can be contacted via phone (803) 791-2480.

Contact Information

Primary practice address
2720 Sunset Blvd West Columbia SC 29169-4810
Phone: (803) 791-2480
Fax: (803) 936-4102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2584 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7774 Georgia

Profile Details

NPI number 1033589080
LBN Legal business name Parker, Mallory
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2015
Last updated Mar 25th, 2019 - about 5 years ago

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.

Request for update

Popular Providers