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Individual

DR. HARRY LESLIE PARLETTE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
125 TERRELL RD E, CHARLOTTESVILLE, VA 22901-2166
(434) 293-4310
Mailing address
125 TERRELL RD E, CHARLOTTESVILLE, VA 22901-2166
(434) 293-4310

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
0101029695
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005924120
VA
01
068535
ANTHEM
VA
01
214070
CIGMA
VA
01
235271
MAMSI
VA
Enumeration date
10/15/2008
Last updated
10/16/2008
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