Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 21655 | MS |
NPI | 1093745978 |
---|---|
Provider Name | Dr. John Preston Parry |
First Address | Madison, MS 39110-6379 |
Second Address | Madison, MS 39110-6379 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03301384 | (05) | MS |