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NPI Code Detail

MEDICARE: MATTHEW CHASE PARKER APRN

MEDICARE: MATTHEW CHASE PARKER APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WG0000XGeneral Practice Registered Nurse1-156340AL
2363LF0000XFamily Nurse PractitionerGAA-NP004223GA

General Provider Information

NPI Number : 1063273894
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW CHASE PARKER APRN
Provider Business Mailing Address
First Line : PO BOX 2755
Second Line :
City : AUBURN
State : AL
Zip : 36831-2755
Country : US
Telephone Number : 256-861-0212
Fax Number :
Provider Business Practice Location Address
First Line : 6910 RIVER RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-2316
Country : US
Telephone Number : 706-257-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2024
Last Update Date : 11/20/2025

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Directions to “ MATTHEW CHASE PARKER APRN” Practice Location

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