Parks, Stephen E

Parks, Stephen E is an individual health care provider with primary practice located at 35 Ray E Talley Ct , Simpsonville SC 29680-6772. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Parks, Stephen E can be contacted via phone (864) 967-7028.

Contact Information

Primary practice address
35 Ray E Talley Ct Simpsonville SC 29680-6772
Phone: (864) 967-7028
Fax: (864) 228-0915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10976 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 10976 South Carolina

Profile Details

NPI number 1154387140
LBN Legal business name Parks, Stephen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 16th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154387140 NPPES
South Carolina MEDICAID 109769

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