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Individual

PHILLIP V PARRY SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060
(770) 422-2326
(770) 422-7797
Mailing address
61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060-1179
(770) 422-2326
(770) 422-7797

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
108344
MN
207T00000X
Neurological Surgery Physician
Primary
79620
GA
207T00000X
Neurological Surgery Physician
A137553
CA
390200000X
Student in an Organized Health Care Education/Training Program
MT193737
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A137553
CA LICENSE
CA
Enumeration date
08/13/2009
Last updated
10/08/2019
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