Individual
SUSAN P PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 RANKIN RD, CANTON, MS 39046-4874
(601) 855-7420
(601) 855-7421
Mailing address
222 RANKIN RD, CANTON, MS 39046-4874
(601) 855-7420
(601) 855-7421
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
07348
MS
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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