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Individual
DONALD W PARKER
Active
Individual
DONALD W PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27454
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080144721
RR MEDICARE PIN
TN
05
—
3098832
—
TN
01
—
3706633
MEDICARE GROUP
TN
Enumeration date
06/20/2006
Last updated
03/17/2009
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