Individual
DR. REGINALD L PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 BLARNEY DR, STE 101, COLUMBIA, SC 29223-6291
(803) 419-5131
(803) 419-5129
Mailing address
115 BLARNEY DR, STE 101, COLUMBIA, SC 29223-6291
(803) 419-5131
(803) 419-5129
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14862
SC
207Q00000X
Family Medicine Physician
Primary
14862
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL2517
—
SC
Enumeration date
03/29/2006
Last updated
07/07/2010
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