Eric D Parks
Family Doctor - Sports Medicine
875 Larry Neil Way
Kingsport
, Tennessee 37660-6368
Eric D Parks
Family Doctor - Sports Medicine
875 Larry Neil Way
Kingsport
, Tennessee 37660-6368
(423) 282-9572
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Eric D Parks
- 2410 Susannah St
- Johnson City, TN
- Zip : 37601-1765
- Fax : (423) 282-9572
- Phone : (423) 282-9011
Second Address
- Eric D Parks
- 875 Larry Neil Way
- Kingsport, TN
- Zip : 37660-6368
- Phone : (423) 282-9011
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | MD42823 | TN |
National Provider Identifier
| NPI | 1295936391 |
|---|---|
| Provider Name | Eric D Parks |
| First Address | Johnson City, TN 37601-1765 |
| Second Address | Kingsport, TN 37660-6368 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/05/2007 |
| Last Update Date | 17/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1514233 | (05) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.