Organization
MULLINS SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARAKKAT GOPALAKRISHNAN MD (SURGEON)
(843) 464-4000
Entity
Organization
Contact information
Practice address
119 W LOWMAN ST, 119 WEST LOWMAN STREET, MULLINS, SC 29574-3107
(843) 464-4000
(843) 464-4017
Mailing address
PO BOX 1014, 119 WEST. LOWMAN STREET, MULLINS, SC 29574-1014
(843) 464-4000
(843) 464-4017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7929
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP079293
—
SC
Enumeration date
04/11/2006
Last updated
08/22/2020
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