Individual
MARK PARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
790 CHURCH ST NE, STE 400, MARIETTA, GA 30060-7282
(770) 952-8889
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(770) 952-8899
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
048691
GA
2085R0202X
Diagnostic Radiology Physician
11373
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506512
—
NV
01
—
199225
WC
NV
01
—
200307
WC
NV
01
—
CC7821
BCBS
NV
01
—
CC7822
BCBS
NV
Enumeration date
05/18/2006
Last updated
05/10/2016
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