Individual
REGINA LYNN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS, SAS
Contact information
Practice address
1439 THUNDERBOLT DR, WALTERBORO, SC 29488-9341
(760) 224-4288
Mailing address
1439 THUNDERBOLT DR, WALTERBORO, SC 29488-9341
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPSS-2341
SC
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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