Healthcare Provider Details

I. General information

NPI: 1013380484
Provider Name (Legal Business Name): DR. CARL PARSEE JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2015
Last Update Date: 11/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 OLD HAMMOND CHASE
ATLANTA GA
30350-4955
US

IV. Provider business mailing address

1301 OLD HAMMOND CHASE
ATLANTA GA
30350-4955
US

V. Phone/Fax

Practice location:
  • Phone: 404-645-1544
  • Fax:
Mailing address:
  • Phone: 404-645-1544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number009486
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: