Individual
JONATHAN EDWARD PARRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1300 HOSPITAL DR STE 300, MT PLEASANT, SC 29464-3217
(843) 884-5200
Mailing address
PO BOX 37642, BELFAST, ME 04915-1218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO1692
NV
207RG0100X
Gastroenterology Physician
006486
AZ
207RG0100X
Gastroenterology Physician
Primary
87828
SC
Other
Enumeration date
04/07/2009
Last updated
03/15/2024
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