MEDICARE: DR. JOHN TALLEY PARROTT M.D.

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
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	10007	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073514139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN TALLEY PARROTT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 402145
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-2145
Country	:	US
Telephone Number	:	803-296-7305
Fax Number	:	803-296-7330

Provider Business Practice Location Address
First Line	:	40 PINNACLE PKWY STE 100
Second Line	:
City	:	ELGIN
State	:	SC
Zip	:	29045-8390
Country	:	US
Telephone Number	:	803-438-0813
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	08/02/2019

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