Individual
AUDRA JUSTINE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8050 E MAIN ST STE 2200, REYNOLDSBURG, OH 43068-2652
(614) 864-6010
(614) 864-0306
Mailing address
8050 E MAIN ST STE 2200, REYNOLDSBURG, OH 43068-2652
(614) 864-6010
(614) 864-0306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.089458
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2767779
—
OH
Enumeration date
04/12/2007
Last updated
04/28/2025
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