Individual
TERESA D PARROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 WASHINGTON ST, STANTON, KY 40380-3014
(606) 663-0333
Mailing address
225 WASHINGTON ST, STANTON, KY 40380-3014
(606) 218-3500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01039879A
IN
207L00000X
Anesthesiology Physician
Primary
24500
KY
207L00000X
Anesthesiology Physician
50441-020
WI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
24500
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50441-020
WISCONSIN MD LICENSE
WI
05
—
64245004
—
IN
Enumeration date
06/06/2007
Last updated
03/21/2019
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