Individual
GREGORY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
130 DARRAN ST, GULFPORT, MS 39503-3409
(228) 831-1988
(228) 832-3844
Mailing address
130 DARRAN ST, GULFPORT, MS 39503-3409
(228) 831-1988
(228) 832-3844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R764033
MS
Other
Enumeration date
03/31/2006
Last updated
09/15/2014
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