Individual
NATASHA LYNNE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N MAIN ST, SUMMERVILLE, SC 29483-6417
(843) 871-0310
Mailing address
301 N MAIN ST, SUMMERVILLE, SC 29483-6417
(843) 871-0310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25829
SC
363LF0000X
Family Nurse Practitioner
APRN-3494
HI
Other
Enumeration date
12/20/2021
Last updated
04/05/2022
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