Individual
DOUGLASS PARKER LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 CASHUA FERRY RD, DARLINGTON, SC 29532-8488
(843) 391-2018
(843) 391-2028
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 391-2018
(843) 391-2028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21800
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218008
—
SC
Enumeration date
02/09/2006
Last updated
02/08/2021
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