Individual
MAE PARKER SPARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 BULL ST, COLUMBIA, SC 29201-2104
(803) 898-1569
Mailing address
2100 BULL ST, COLUMBIA, SC 29201-2104
(803) 898-1569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
25391
SC
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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