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NPI Code Detail

MEDICARE: DAVID R PARKER MD

MEDICARE: DAVID R PARKER MD
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
1207Q00000XFamily Medicine Physician200300678NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00419380OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3138A6OTHERNCDR PARKER'S BCBS OF NC #
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376547356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID R PARKER MD
Provider Business Mailing Address
First Line : 1248 FORT BRAGG RD
Second Line : SUITE 200
City : FAYETTEVILLE
State : NC
Zip : 28305-4981
Country : US
Telephone Number : 910-486-6818
Fax Number : 910-484-1099
Provider Business Practice Location Address
First Line : 1248 FORT BRAGG RD
Second Line : SUITE 200
City : FAYETTEVILLE
State : NC
Zip : 28305-4981
Country : US
Telephone Number : 910-486-6818
Fax Number : 910-484-1099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 04/12/2017

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Directions to “ DAVID R PARKER MD” Practice Location

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