Individual
DR. CHARLES D PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9755 WEST STATE HWY 22, RATCLIFF, AR 72951
(479) 431-2050
(479) 431-2051
Mailing address
P.O BOX 130, RATCLIFF, AR 72951
(479) 431-2050
(479) 431-2051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-6866
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03181099
—
MS
01
—
080168244
RAILROAD MEDICARE
—
05
—
100072090A
—
OK
05
—
111469001
—
AR
05
—
1632244
—
LA
01
—
17719000000
QUALCHOICE
AR
01
—
1970402
UNITED HEALTHCARE
AR
01
—
50188
BLUE CROSS/BLUE SHIELD
AR
01
—
5334029
AETNA
—
01
—
9233469001
CIGNA
—
Enumeration date
06/09/2005
Last updated
03/07/2023
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