Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 765 | TN |
NPI | 1689623456 |
---|---|
Provider Name | Dr. Scott Lawton Parson |
First Address | Knoxville, TN 37920-6662 |
Second Address | Knoxville, TN 37920-6662 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 11/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U19239 | (02) | TN |