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Individual

DR. MARCHETA VALENTINE PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3504 OAKWOOD AVE NW, HUNTSVILLE, AL 35810-4352
(256) 656-8864
Mailing address
6275 UNIVERSITY DR NW STE 37368, HUNTSVILLE, AL 35806-1776
(256) 656-8874

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
00023971
AL
208D00000X
General Practice Physician
00023971
AL
208VP0000X
Pain Medicine Physician
Primary
00023971
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050089325
RAILROAD MEDICARE
AL
05
051510516
AL
01
515-10516
BCBS HOSPITAL BASED CRNA
AL
01
515-30884
BCBS PHYSICIAN BASED CRNA
AL
Enumeration date
07/13/2006
Last updated
12/27/2022
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