Organization
DLP MARIA PARHAM PHYSICIAN PRACTICES LLC
Active
Other names
Maria Parham Vein Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SARA L MILLER (DIRECTOR)
(615) 920-7780
Entity
Organization
Contact information
Practice address
566 RUIN CREEK RD, HENDERSON, NC 27536-2927
(252) 436-1055
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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