Individual
DR. JEFFERY G PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2810 LURLEEN WALLACE BOULEVARD, NORTHPORT, AL 35476
(205) 333-7670
(205) 333-3161
Mailing address
2810 LURLEEN WALLACE BOULEVARD, NORTHPORT, AL 35476
(205) 333-7670
(205) 333-3161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17449
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020261
—
AL
01
—
051020261
BLUE CROSS NUMBER
AL
01
—
080156794
MEDICARE RAILROAD
AL
Enumeration date
12/13/2006
Last updated
11/30/2010
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