Individual provider · Type 1 NPI

Mallory Parker, PA-C

Physician Assistant · West Columbia, SC

NPI number 1033589080 Active

Practice location

2720 Sunset Blvd
West Columbia, SC 29169-4810

Fax (803) 936-4102

Mailing address

470 Hulon Ln
West Columbia, SC 29169-4841

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA68029 (CA)
Physician Assistant 363A00000X7774 (GA)
Physician Assistant Primary 363A00000X2584 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1033589080

Mallory Parker, PA-C's National Provider Identifier is 1033589080, issued on Oct 3, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in West Columbia, SC. The record was last updated on Aug 26, 2026.