Individual
DR. JAMES PARKER SENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7523 DC CANEY RIDGE RD, COEBURN, VA 24230-4936
(276) 835-9731
(276) 835-1007
Mailing address
7523 DC CANEY RIDGE RD, COEBURN, VA 24230-4936
(276) 835-9731
(276) 926-4782
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101032888
VA
207Q00000X
Family Medicine Physician
Primary
0101032888
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007653387
MEDICAID-RHC
VA
05
—
051019191013
—
VA
01
—
080007627
MEDICARE-TRAILBLAZER
—
05
—
1104894526
—
VA
01
—
493812
MEDICARE-RHC
—
Enumeration date
03/10/2006
Last updated
03/04/2011
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