Individual
CAROL R. PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3158 SMOKIES EDGE ROAD, SEVIERVILLE, TN 37862
(865) 429-2331
Mailing address
PO BOX 5470, SEVIERVILLE, TN 37864-5470
(865) 429-2331
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD17573
AL
207P00000X
Emergency Medicine Physician
Primary
MD40622
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4131273
BCBS OF TENNESSEE
TN
05
—
PENDING
—
TN
Enumeration date
05/28/2006
Last updated
02/06/2013
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