Individual
DR. MICHAEL TERRY PARKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
110 JOHN ESKEW DRIVE, ALEXANDRIA, LA 71303
(318) 445-5111
(318) 767-1307
Mailing address
110 JOHN ESKEW DRIVE, ALEXANDRIA, LA 71303
(318) 445-5111
(318) 767-1307
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0769R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00116621
MISSISSIPPI MEDICAID
MS
05
—
1394165
—
LA
Enumeration date
05/02/2006
Last updated
07/08/2007
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