Individual
SARA BOLEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1292
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
T-4278
MS
Other
Enumeration date
03/06/2020
Last updated
07/01/2021
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