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Individual
TIMOTHY S PARRISH
Active
Individual
TIMOTHY S PARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0001-02875
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157AM
BCBS NC
NC
01
—
P00798735
MEDICARE RR
NC
Enumeration date
07/14/2006
Last updated
04/01/2021
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