Individual
HUGH KYLE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
604B E LONG ST, CLAXTON, GA 30417-5914
(912) 739-7710
(912) 739-7343
Mailing address
200 N RIVER ST, CLAXTON, GA 30417-1659
(912) 739-7710
(912) 739-7343
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
054328
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
694559760A
—
GA
Enumeration date
07/11/2005
Last updated
03/23/2010
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