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NPI Code Detail

MEDICARE: HARRIS HARTWELL PARKER III M.D.

MEDICARE:   HARRIS HARTWELL PARKER III 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
12086S0129XVascular Surgery Physician21265SC
2208600000XSurgery Physician21265SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00913484OTHERSCMEDICARE RAILROAD

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 : 1831177377
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRIS HARTWELL PARKER III M.D.
Provider Business Mailing Address
First Line : PO BOX 23321
Second Line :
City : NEW YORK
State : NY
Zip : 10087-4321
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 114 GATEWAY CORPORATE BLVD STE 420
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-9785
Country : US
Telephone Number : 803-365-8650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 09/24/2024

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Directions to “ HARRIS HARTWELL PARKER III M.D.” Practice Location

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