Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD35032 | TN |
NPI | 1013908730 |
---|---|
Provider Name | Joseph P Parker |
First Address | Nashville, TN 37203-1852 |
Second Address | Nashville, TN 37203-1852 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 25/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3229076 | (05) | TN |
I27928 | (02) | |
Q018317 | (05) | TN |