Individual
MICHAEL E PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 S PARK ST, HOHENWALD, TN 38462-1413
(931) 796-7960
(931) 796-7790
Mailing address
PO BOX 5, HOHENWALD, TN 38462-0005
(931) 796-7960
(931) 796-7790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000000781
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3715488
—
TN
01
—
4058697
BLUE CROSS OF TENNESSEE
TN
Enumeration date
04/14/2006
Last updated
05/20/2010
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