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Individual

DAVID R PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1248 FORT BRAGG RD, SUITE 200, FAYETTEVILLE, NC 28305-4981
(910) 486-6818
(910) 484-1099
Mailing address
1248 FORT BRAGG RD, SUITE 200, FAYETTEVILLE, NC 28305-4981
(910) 486-6818
(910) 484-1099

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200300678
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
138A6
DR PARKER'S BCBS OF NC #
NC
05
891363V
NC
05
89138A6
NC
01
P00419380
RAILROAD MEDICARE
NC
Enumeration date
06/08/2005
Last updated
04/12/2017
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