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Individual

ERIC D PARKS

Active
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Individual

ERIC D PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD42823
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514233
—
TN
Enumeration date
05/29/2007
Last updated
12/17/2019
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