Parker Panovec MD

NPI 1003883141 - Family Medicine - 207Q00000X

NPI Details
NPI 1003883141
Gender Male
Enumeration Date 03/08/2006
Last Updated 11/29/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
2859 HIGHWAY 45 BYP
JACKSON TN, 38305-3618, US
Phone (731) 660-8360
Fax (731) 664-7928
Business Location
PO BOX 400
JACKSON TN, 38302-0400, US
Phone (731) 423-8697
Fax (731) 422-5743
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number MD25499
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According to our database, Parker Panovec MD NPI is 1003883141, taxonomy code is 207Q00000X and license number is MD25499, license state is located at Tennessee. Parker Panovec MD physically located at 2859 Highway 45 Byp, Jackson TN, 38305-3618. NPI Number Parker Panovec MD has the Individual type.

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1003883141 NPI number is provided on an as is basis without warranty of any kind. 1003883141 is maintained by the National Plan & Provider Enumeration System. The contents of Parker Panovec MD are for informational purposes only.