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Individual

CHARLES EDWARD PARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
105 HOLBROOK TRAIL, GREENVILLE, SC 29605-3164
(864) 242-9666
(864) 240-6047
Mailing address
PO BOX 52990, GREENWOOD, SC 29649-0048
(843) 223-3600
(864) 889-6054

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00014743
AL
2085R0202X
Diagnostic Radiology Physician
057907
GA
2085R0202X
Diagnostic Radiology Physician
Primary
16601
SC
2085R0202X
Diagnostic Radiology Physician
2006-00770
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166019
SC
Enumeration date
07/26/2006
Last updated
05/29/2024
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