Individual
ANDREW DENNIS PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5706
(601) 984-6491
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5706
(601) 984-6491
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
08228
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016928
—
MS
01
—
08228
STATE LICENSE
MS
01
—
140000084
2007 MCR
MS
01
—
142945605
RR PTAN
MS
Enumeration date
05/28/2006
Last updated
05/12/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us