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Individual

DR. JOHN PARKS BOOKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M, D.

Contact information

Practice address
18 13TH AVE NE, HICKORY, NC 28601-3748
(828) 322-2644
(828) 327-2235
Mailing address
PO BOX 308, 18 13TH AVE NE, HICKORY, NC 28603-0308
(828) 322-2644
(828) 327-2235

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
18442
NC
2085N0700X
Neuroradiology Physician
18442
NC
2085N0904X
Nuclear Radiology Physician
18442
NC
2085P0229X
Pediatric Radiology Physician
18442
NC
2085R0202X
Diagnostic Radiology Physician
Primary
18442
NC
2085R0203X
Therapeutic Radiology Physician
18442
NC
2085R0204X
Vascular & Interventional Radiology Physician
18442
NC
2085R0205X
Radiological Physics Physician
18442
NC
2085U0001X
Diagnostic Ultrasound Physician
18442
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16895
BCBS
NC
01
246190
MAMSI
NC
01
300058518
RAILROAD MEDICARE
NC
01
560941927
CIGNA
NC
05
8916895
NC
Enumeration date
12/14/2005
Last updated
10/26/2009
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