| Park Medical, Llc | |
|
8 Cedar Glenn Way Simpsonville SC 29681-6396 | |
| (864) 640-0395 | |
| Not Available |
| Full Name | Park Medical, Llc |
|---|---|
| Speciality | General Practice |
| Location | 8 Cedar Glenn Way, Simpsonville, South Carolina |
| Authorized Official Name and Position | Sonny Y Park (OWNER) |
| Authorized Official Contact | 8646400395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Medical, Llc 8 Cedar Glenn Way Simpsonville SC 29681-6396 Ph: (864) 640-0395 | Park Medical, Llc 8 Cedar Glenn Way Simpsonville SC 29681-6396 Ph: (864) 640-0395 |
| NPI Number | 1831408764 |
|---|---|
| Provider Enumeration Date | 09/27/2010 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831408764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 25559 (South Carolina) | Primary |
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