Provider Demographics
NPI:1326042110
Name:PARSONS, GREGORY STOKES (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:STOKES
Last Name:PARSONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SOUTH HERLONG AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1182
Mailing Address - Country:US
Mailing Address - Phone:803-328-1864
Mailing Address - Fax:803-328-1865
Practice Address - Street 1:200 S HERLONG AVE STE A
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1182
Practice Address - Country:US
Practice Address - Phone:803-328-1864
Practice Address - Fax:803-328-1865
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14176207Y00000X, 207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1506241OtherCOVENTRY
SC1040292OtherWELLCARE OF SC
SCTL3145Medicaid
SCTL3145Medicaid
NCNCE474AMedicare PIN
SC1040292OtherWELLCARE OF SC
SCD176005874Medicare PIN