Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 2013-02264 | NC |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 2013-02264 | NC |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 83082 | SC |
NPI | 1184617391 |
---|---|
Provider Name | Michael D Parmer |
First Address | Greenville, SC 29615-4536 |
Second Address | Greenville, SC 29605-4210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 03/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
080168224 | RAILROAD MEDICARE (01) | |
4534823 | AETNA HEALTHCARE (01) | |
5090029 | BLUE CROSS (01) | MI |
88P08828 | HEALTH PLUS (01) | MI |
F01826 | (02) |