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PARKER PANOVEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2859 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 660-8360
(731) 664-7928
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25499
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3083246
TN
Enumeration date
03/08/2006
Last updated
11/29/2012
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