Organization
PAUL CRAIG PARKER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE LYNN WALKER (OFFICE MANAGERT)
(985) 893-1070
Entity
Organization
Contact information
Practice address
101 E FAIRWAY DR, SUITE 402, COVINGTON, LA 70433-7503
(985) 893-1070
(985) 893-1083
Mailing address
101 E FAIRWAY DR, SUITE 402, COVINGTON, LA 70433-7503
(985) 893-1070
(985) 893-1083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015828
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1339555
—
LA
Enumeration date
10/06/2006
Last updated
08/22/2020
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