Provider Demographics
NPI:1801074273
Name:PARNELL, RICHARD ERNEST JR (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ERNEST
Last Name:PARNELL
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108B CLAIR DRIVE
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673
Mailing Address - Country:US
Mailing Address - Phone:864-269-6944
Mailing Address - Fax:864-269-6943
Practice Address - Street 1:108B CLAIR DR
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:SC
Practice Address - Zip Code:29673
Practice Address - Country:US
Practice Address - Phone:864-269-6944
Practice Address - Fax:864-269-6943
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1763111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor