Derek John Willi Parker in Greenville - Physician Assistant

Derek John Willi Parker - NPI 1548318223

Derek John Willi Parker is a Physician Assistant in Greenville, South Carolina. Derek John Willi Parker practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Derek John Willi Parker is 1548318223. The last update date is 2021-06-30.

Derek John Willi Parker's current location address is 300 E Mcbee Ave Fl 4, Greenville, South Carolina. You can contact this provider via phone number 8645228603. The mailing address for Derek John Willi Parker is 300 E Mcbee Ave Fl 4, Greenville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Derek John Willi Parker
Address 300 E Mcbee Ave Fl 4, Greenville, South Carolina
Phone Number 8645228603
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1548318223
Provider Enumeration Date 2007-01-08
Last Updated Date 2021-06-30

Provider Mailing Address Detail

Address 300 E Mcbee Ave Fl 4
City Greenville
State South Carolina (SC)
Post Code 296012842
Phone Number 8645228603
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1057877 NCCP
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1544PA SC --

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FAQs about Derek John Willi Parker

What is the unique identification code assigned to Derek John Willi Parker by the Centers for Medicare & Medicaid Services?

The Derek John Willi Parker has been issued the NPI (National Provider Identifier) 1548318223. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Derek John Willi Parker's physical address?

The Derek John Willi Parker is physically located at 300 E Mcbee Ave Fl 4, in the city of Greenville, SC, with the postal code 296012842.

What is the area of specialization for Derek John Willi Parker, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Derek John Willi Parker is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did Derek John Willi Parker receive its 1548318223 assignment from the Centers for Medicare & Medicaid Services?

The Derek John Willi Parker was assigned its 1548318223 on 2007-01-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Derek John Willi Parker most recently updated?

The details pertaining to the Derek John Willi Parker, including its address, specialty, and other relevant information, were last refreshed on 2021-06-30.

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