Individual
MRS. PATRICIA M PARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
907 18TH ST E, SUITE 150, TIFTON, GA 31794-3643
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN066656
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00719067C
—
GA
01
—
500002323
RAILROAD MEDICARE
GA
01
—
CB5821
MEDICARE ID TYPE UNSPECIFIED
GA
Enumeration date
07/19/2005
Last updated
06/18/2015
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