Individual
CALEB M PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 N CHURCH ST, GREENSBORO, NC 27401-1007
(336) 832-8468
Mailing address
1050 EAST DR, GASTONIA, NC 28052-5214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209632
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209632
NORTH CAROLINA MEDICAL BOARD
NC
Enumeration date
05/19/2015
Last updated
10/01/2021
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