Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 009486 | GA |
NPI | 1013380484 |
---|---|
Provider Name | Dr. Carl Parsee JR. |
First Address | Atlanta, GA 30350-4955 |
Second Address | Atlanta, GA 30350-4955 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2015 |
Last Update Date | 07/11/2015 |