Individual
MATTHEW LINUS PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
113 VIRGINIA RD, VIDANT FAMILY AND SPORTS MEDICINE, EDENTON, NC 27932
(252) 482-3047
(252) 482-5061
Mailing address
113 VIRGINIA RD, VIDANT FAMILY AND SPORTS MEDICINE, EDENTON, NC 27932
(252) 482-3047
(252) 482-5061
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5008484
NC
Other
Enumeration date
04/29/2016
Last updated
01/07/2022
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