Provider Demographics
NPI:1245221712
Name:PARRA, SYLVIA LUCIA (MD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:LUCIA
Last Name:PARRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 CONSTITUTION DR
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29154-8175
Mailing Address - Country:US
Mailing Address - Phone:803-775-4469
Mailing Address - Fax:803-775-4981
Practice Address - Street 1:560 CONSTITUTION DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29154-8175
Practice Address - Country:US
Practice Address - Phone:803-775-4469
Practice Address - Fax:803-775-4981
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101244905207N00000X
CODR-38037207N00000X
SC34511207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology