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NPI Code Detail

MEDICARE: EVA MECHEAD PARKER

MEDICARE:   EVA MECHEAD PARKER
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
1175T00000XPeer SpecialistAPS.005151OH

General Provider Information

NPI Number : 1215777693
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA MECHEAD PARKER
Provider Business Mailing Address
First Line : 700 BRYDEN RD STE 128
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-4839
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1836 LOCKBOURNE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-5600
Country : US
Telephone Number : 614-537-5031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2024
Last Update Date : 05/31/2024

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Directions to “ EVA MECHEAD PARKER ” Practice Location

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