Individual
DR. WILLIAM THOMAS PARKER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912
(706) 721-8623
Mailing address
1120 15TH ST STE BI-1056, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
73615
GA
2085R0202X
Diagnostic Radiology Physician
73615
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003164775B
—
GA
Enumeration date
04/04/2007
Last updated
11/30/2023
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