Individual
STEPHEN Q. PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3545 HIGHWAY 17, SUITE 200, MURRELLS INLET, SC 29576-5113
(843) 294-1941
(843) 294-1945
Mailing address
210 VILLAGE CENTER BLVD STE 140, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
192133
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192133
—
SC
01
—
42D2029452
CLIA WAIVER
SC
05
—
8906174
—
NC
Enumeration date
01/27/2006
Last updated
07/20/2022
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