Individual
DR. GERALD A PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 LAUCHWOOD DR, LAURINBURG, NC 28352-5501
(910) 291-6904
(910) 291-6907
Mailing address
PO BOX 602458, CHARLOTTE, NC 28260-2458
(910) 291-6904
(910) 291-6907
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD040135L
PA
207R00000X
Internal Medicine Physician
151550
NC
207R00000X
Internal Medicine Physician
Primary
2008-02004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011268782
—
PA
05
—
1851366389
—
NC
05
—
5911199
—
NC
05
—
N02004
—
SC
Enumeration date
02/20/2006
Last updated
09/11/2014
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