MEDICARE: CHANTIA ALEXIS 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
1	374J00000X	Doula

General Provider Information

NPI Number	:	1699615047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANTIA ALEXIS PARKER

Provider Business Mailing Address
First Line	:	1611 KNOLL CT
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-2441
Country	:	US
Telephone Number	:	910-418-0555
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 KNOLL CT
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-2441
Country	:	US
Telephone Number	:	910-418-0555
Fax Number	:

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

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	03/28/2026

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Directions to “ CHANTIA ALEXIS PARKER ” Practice Location

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