Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 10007 | SC |
NPI | 1073514139 |
---|---|
Provider Name | Dr. John Talley Parrott |
First Address | Atlanta, GA 30384-2145 |
Second Address | Elgin, SC 29045-8390 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 02/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100072 | (05) | SC |
B91942 | (02) | SC |