MEDICARE: ANTHONY V. PARKINSON, D.C., LLC

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	918	MS

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629177415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY V. PARKINSON, D.C., LLC

Provider Business Mailing Address
First Line	:	5903 RIDGEWOOD RD
Second Line	:	SUITE 103
City	:	JACKSON
State	:	MS
Zip	:	39211-3700
Country	:	US
Telephone Number	:	601-899-3167
Fax Number	:	601-899-3914

Provider Business Practice Location Address
First Line	:	5903 RIDGEWOOD RD
Second Line	:	SUITE 103
City	:	JACKSON
State	:	MS
Zip	:	39211-3700
Country	:	US
Telephone Number	:	601-899-3167
Fax Number	:	601-899-3914

Authorized Official
Title or Position	:	CEO
Name	:	DR. ANTHONY VINCENT PARKINSON
Credential	:	D.C.
Telephone Number	:	601-899-3167

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	09/02/2011

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Directions to “ANTHONY V. PARKINSON, D.C., LLC ” Practice Location

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