Search › South Carolina › 207P00000X
Sonny Park, MD
NPI 1720071277 · on the registry since 2005
Practice
- Address
- 1988 Kings Gate Ln
Mount Pleasant, SC 29466 - Phone
- (864) 640-0395
Additional practice sites
- Po Box 6354004, Cincinnati, OH
- 1101 Michigan Ave, Logansport, IN
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207Q00000X
207Q00000X
207P00000X
207P00000X - Licence states on file
- ME, SC, NJ, IN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina