Healthcare Provider Details

I. General information

NPI: 1063945269
Provider Name (Legal Business Name): PARKER DANIEL PLANT D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E 3RD ST
CHATTANOOGA TN
37403-2101
US

IV. Provider business mailing address

900 E 3RD ST
CHATTANOOGA TN
37403-2101
US

V. Phone/Fax

Practice location:
  • Phone: 801-907-5373
  • Fax:
Mailing address:
  • Phone: 423-778-5437
  • Fax: 423-778-4062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4333
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2080S0010X
TaxonomyPediatric Sports Medicine Physician
License Number4333
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: