Individual
HARRIS HARTWELL PARKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 GATEWAY CORPORATE BLVD STE 420, COLUMBIA, SC 29203-9785
(803) 365-8650
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21265
SC
2086S0129X
Vascular Surgery Physician
21265
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212656
—
SC
01
—
P00913484
MEDICARE RAILROAD
SC
Enumeration date
01/05/2006
Last updated
09/24/2024
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