Provider Demographics
NPI:1508833690
Name:PARMANN GROUP, PA
Entity Type:Organization
Organization Name:PARMANN GROUP, PA
Other - Org Name:CENTRAL CAROLINA EAR, NOSE, THROAT & AUDIOLOGY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:STOKES
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-327-4000
Mailing Address - Street 1:1565 EBENEZER RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1806
Mailing Address - Country:US
Mailing Address - Phone:803-327-4000
Mailing Address - Fax:803-366-9829
Practice Address - Street 1:1565 EBENEZER RD
Practice Address - Street 2:SUITE 110
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1806
Practice Address - Country:US
Practice Address - Phone:803-327-4000
Practice Address - Fax:803-366-9829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP4147Medicaid
SCGP4147Medicaid