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Individual

DR. GREGG SCOTT PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 483-5057
(318) 483-5029
Mailing address
18407 PINE FORREST RD, GULFPORT, MS 39503-9055
(601) 364-7875
(601) 364-7996

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
07695
MS
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
07695
MS

Other

Enumeration date
09/20/2006
Last updated
09/11/2025
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