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Contact Information

MARYA J PARKER, NP
3006 KNIGHTBRIDGE RD
COLUMBIA, SC29223-2131
 Phone: 803-736-8142
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for MARYA J PARKER · (Female)

NPI Number 1114452463
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 04/25/2017
Last updated 11/04/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 201910419NP-PP
  • SC License # 20672
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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