Individual
DR. PATRICK MICHAEL PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3294 N OAK STREET EXT, VALDOSTA, GA 31605-6473
(229) 241-1188
Mailing address
3294 N OAK STREET EXT, VALDOSTA, GA 31605-6473
(229) 241-1188
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
068590
GA
208800000X
Urology Physician
280464
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068590
MEDICAL LICENSE
GA
Enumeration date
06/08/2007
Last updated
07/21/2022
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