Individual
ERIC D PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 LARRY NEIL WAY, KINGSPORT, TN 37660-6368
(423) 282-9011
Mailing address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1765
(423) 282-9011
(423) 282-9572
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD42823
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514233
—
TN
Enumeration date
05/29/2007
Last updated
12/17/2019
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