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 |
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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 |
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Provider Enumeration Date | 2007-01-08 |
Last Updated Date | 2021-06-30 |
Provider Mailing Address Detail
Address | 300 E Mcbee Ave Fl 4 |
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City | Greenville |
State | South Carolina (SC) |
Post Code | 296012842 |
Phone Number | 8645228603 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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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 |
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1544PA | SC | -- |
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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.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY