Healthcare Provider Details

I. General information

NPI: 1003442955
Provider Name (Legal Business Name): SEAN MEDARD PARKER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2020
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 GUNBARREL RD STE 100
CHATTANOOGA TN
37421-4983
US

IV. Provider business mailing address

2004 HAYES ST STE 800
NASHVILLE TN
37203-2659
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-8525
  • Fax:
Mailing address:
  • Phone: 615-329-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number73552
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: