MEDICARE: DR. SYLVIA LUCIA PARRA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	0101244905	VA
2	207N00000X	Dermatology Physician	DR-38037	CO
3	207N00000X	Dermatology Physician	34511	SC

General Provider Information

NPI Number	:	1245221712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYLVIA LUCIA PARRA M.D.

Provider Business Mailing Address
First Line	:	560 CONSTITUTION DR
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29154-8175
Country	:	US
Telephone Number	:	803-775-4469
Fax Number	:	803-775-4981

Provider Business Practice Location Address
First Line	:	560 CONSTITUTION DR
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29154-8175
Country	:	US
Telephone Number	:	803-775-4469
Fax Number	:	803-775-4981

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	09/29/2025

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