Individual
WAYLON MORRIS PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5002 HIGHWAY 10, VILLA FELICIANA MEDICAL COMPLEX, JACKSON, LA 70748
(225) 634-4079
Mailing address
5635 MAIN STREET, SUITE A #222, ZACHARY, LA 70791
(225) 634-4079
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
016672
LA
208D00000X
General Practice Physician
Primary
016672
LA
Other
Enumeration date
02/01/2007
Last updated
11/24/2009
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