Healthcare Provider Details

I. General information

NPI: 1710676275
Provider Name (Legal Business Name): CHRISTIAN DREW PARKINSON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6915 VILLAGE MEDICAL CIR
CLEMMONS NC
27012-8002
US

IV. Provider business mailing address

6915 VILLAGE MEDICAL CIR
CLEMMONS NC
27012-8002
US

V. Phone/Fax

Practice location:
  • Phone: 336-893-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2026-03155
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: