Healthcare Provider Details

I. General information

NPI: 1326042110
Provider Name (Legal Business Name): GREGORY STOKES PARSONS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S HERLONG AVE STE A
ROCK HILL SC
29732-1182
US

IV. Provider business mailing address

200 SOUTH HERLONG AVENUE SUITE A
ROCK HILL SC
29732-1182
US

V. Phone/Fax

Practice location:
  • Phone: 803-328-1864
  • Fax: 803-328-1865
Mailing address:
  • Phone: 803-328-1864
  • Fax: 803-328-1865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number14176
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number14176
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: