Individual
AUGUSTUS G PARKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6331 CARMEL RD STE 102, CHARLOTTE, NC 28226-8286
(704) 316-2557
(704) 316-2558
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2017-00484
NC
207V00000X
Obstetrics & Gynecology Physician
35046523
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0549375
—
OH
01
—
0576572
MEDICARE PTAN
OH
Enumeration date
06/16/2006
Last updated
12/23/2022
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