Healthcare Provider Details

I. General information

NPI: 1982864799
Provider Name (Legal Business Name): AARON ROCKNEY PARRY II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2008
Last Update Date: 09/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 PENNSYLVANIA AVE SUITE 301
CHARLESTON WV
25302-3302
US

IV. Provider business mailing address

75 SPRINGVIEW LANE
SUMMERVILLE SC
29485-8154
US

V. Phone/Fax

Practice location:
  • Phone: 304-346-4455
  • Fax: 304-346-4457
Mailing address:
  • Phone: 843-832-5096
  • Fax: 843-832-5115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberMD40620
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: