SearchSouth Carolina101YA0400X

Israel Parker

NPI 1659610103 · on the registry since 2013

Practice

Address
115 N Harvin St
Sumter, SC 29150
Phone
(803) 775-6815
Fax
(803) 773-6232
Organisation at this address
Sc Department Of Juvenile Justice
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina