Individual
DR. PARKER LEE ELLISON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
Mailing address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL51144
SC
207RG0100X
Gastroenterology Physician
Primary
31210
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2017
Last updated
02/27/2025
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