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NPI Code Detail

MEDICARE: DR. ROBERT MICHAEL PARRICK D.O.

MEDICARE: DR. ROBERT MICHAEL PARRICK D.O.
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
1207R00000XInternal Medicine Physician668SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679643910
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT MICHAEL PARRICK D.O.
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 200 N NELSON DR
Second Line :
City : FOUNTAIN INN
State : SC
Zip : 29644-9021
Country : US
Telephone Number : 864-522-6270
Fax Number : 864-522-6275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/15/2024

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