Individual
MARK PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4501 CAMERON VALLEY PKWY, SUITE 200, CHARLOTTE, NC 28211-4297
(704) 512-3636
Mailing address
4501 CAMERON VALLEY PKWY, CHARLOTTE, NC 28211-4297
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
32413
NC
2080P0205X
Pediatric Endocrinology Physician
Primary
MD2019-0007
NM
Other
Enumeration date
07/03/2006
Last updated
01/31/2020
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