MEDICARE: PARKER HOWARD DC, CSCS

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	111N00000X	Chiropractor	5877	NC

General Provider Information

NPI Number	:	1447130943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARKER HOWARD DC, CSCS

Provider Business Mailing Address
First Line	:	400 E BROOKLYN VILLAGE AVE UNIT 445
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28202-3611
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 PARK RD STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-2296
Country	:	US
Telephone Number	:	704-527-7246
Fax Number	:

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

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	09/04/2025

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