Individual
DR. JASON D PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1524 E MOREHEAD ST, CHARLOTTE, NC 28207-1606
(704) 343-3400
Mailing address
1524 E MOREHEAD ST, CHARLOTTE, NC 28207-1606
(704) 343-3400
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
200501502
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200501502
NC MEDICAL LICENSE
NC
Enumeration date
03/23/2006
Last updated
01/21/2025
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