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NPI Code Detail

MEDICARE: CHELSEA BROOK PARNELL

MEDICARE: CHELSEA BROOK PARNELL
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
1183700000XPharmacy Technician0000055269TN

General Provider Information

NPI Number : 1346765278
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA BROOK PARNELL
Provider Business Mailing Address
First Line : 1051 S RIVERSIDE DR
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-4303
Country : US
Telephone Number : 931-645-2494
Fax Number : 931-919-1218
Provider Business Practice Location Address
First Line : 1051 S RIVERSIDE DR
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-4303
Country : US
Telephone Number : 931-645-2494
Fax Number : 931-919-1218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2017
Last Update Date : 08/11/2017

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Directions to “ CHELSEA BROOK PARNELL ” Practice Location

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