Susan P Parks M.D.

NPI 1477745511 - Pediatrics - 2080A0000X

NPI Details
NPI 1477745511
Gender Female
Enumeration Date 08/13/2007
Last Updated 08/13/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
222 RANKIN RD
CANTON MS, 39046-4874, US
Phone (601) 855-7420
Fax (601) 855-7421
Business Location
222 RANKIN RD
CANTON MS, 39046-4874, US
Phone (601) 855-7420
Fax (601) 855-7421
Toxanomy
Taxonomy Code 2080A0000X
License State Mississippi
License Number 07348
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According to our database, Susan P Parks M.D. NPI is 1477745511, taxonomy code is 2080A0000X and license number is 07348, license state is located at Mississippi. Susan P Parks M.D. physically located at 222 Rankin Rd, Canton MS, 39046-4874. NPI Number Susan P Parks M.D. has the Individual type.

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1477745511 NPI number is provided on an as is basis without warranty of any kind. 1477745511 is maintained by the National Plan & Provider Enumeration System. The contents of Susan P Parks M.D. are for informational purposes only.