Individual
DR. AUSTIN LYLE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
881 USS JAMES MADISON RD, NSSC UNDERSEA MEDICAL DEPARTMENT, KINGS BAY, GA 31547-2531
(912) 573-2995
(912) 573-4534
Mailing address
NMRTC PORTSMOUTH - NEPHROLOGY CLINIC, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-2051
(757) 953-8000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101234675
VA
208D00000X
General Practice Physician
0101234675
VA
Other
Enumeration date
01/26/2006
Last updated
09/23/2022
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