Organization
CONWAY PODIATRY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM L PARKER DPM (OWNER)
(843) 236-7170
Entity
Organization
Contact information
Practice address
8020 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 236-7170
Mailing address
8020 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 236-7170
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
568
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD5684
—
SC
Enumeration date
01/17/2006
Last updated
08/20/2010
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