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Individual

DR. PAUL CRAIG PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
47 OAKLAWN DR STE A, COVINGTON, LA 70433-4520
(985) 630-8994
(985) 646-1156
Mailing address
47 OAKLAWN DR, COVINGTON, LA 70433-4520
(985) 630-8866
(985) 646-1156

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015828
LA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD015828
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1339555
LA
01
4M878
MEDICARE
LA
Enumeration date
03/08/2006
Last updated
06/02/2025
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