Individual
MARY PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 ROBERTS BLVD, WILLIAMSTON, SC 29697-1132
(864) 847-5442
Mailing address
1 ROBERTS BLVD, WILLIAMSTON, SC 29697-1132
(864) 847-5442
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
253690
SC
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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