Individual
DR. GLENN R PARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4850 SUGARLOAF PKWY STE 501, LAWRENCEVILLE, GA 30044-2864
(770) 962-1616
(770) 962-7977
Mailing address
4850 SUGARLOAF PKWY STE 501, LAWRENCEVILLE, GA 30044-2864
(770) 962-1616
(770) 962-7977
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
031646
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300001475C
—
GA
Enumeration date
08/09/2007
Last updated
05/09/2023
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