Individual
MATTHEW N PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 MANNING PL, BIRMINGHAM, AL 35242-1809
(205) 995-4690
(205) 995-4695
Mailing address
50 MANNING PL, SUITE 114, BIRMINGHAM, AL 35242-1809
(205) 995-4690
(205) 995-4695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26208
AL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
26208
AL
208D00000X
General Practice Physician
Primary
26208
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26208
STATE LICENSE NUMBER
AL
01
—
515-31820
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/03/2006
Last updated
05/11/2016
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