Individual
COLLEEN M PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 WOODRUFF RD, GREENVILLE, SC 29607-4105
(864) 233-6338
(864) 235-1982
Mailing address
920 WOODRUFF RD, GREENVILLE, SC 29607-4105
(864) 233-6338
(864) 235-1982
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21400
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214002
—
SC
Enumeration date
10/05/2006
Last updated
08/12/2009
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