Healthcare Provider Details

I. General information

NPI: 1558050617
Provider Name (Legal Business Name): ANDREW PARSLEY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2023
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 HIGHWAY 468 W BLDG 25
WHITFIELD MS
39193-5529
US

IV. Provider business mailing address

3550 HIGHWAY 468 W BLDG 25
WHITFIELD MS
39193-5529
US

V. Phone/Fax

Practice location:
  • Phone: 601-351-8555
  • Fax: 601-351-8551
Mailing address:
  • Phone: 601-351-8555
  • Fax: 601-351-8551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: