Individual
DR. SAMUEL KEITH PARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5133 RIVERS AVE, NORTH CHARLESTON, SC 29406-6338
(843) 789-1786
(843) 958-1263
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42966
TN
207Q00000X
Family Medicine Physician
ME98798
FL
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
ME98798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02146
BCBS
FL
05
—
024147900
—
FL
Enumeration date
12/01/2005
Last updated
08/14/2025
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