Frazier, Randall Parks

Frazier, Randall Parks is an individual health care provider with primary practice located at 611 Alcorn Dr Suite 100, Corinth MS 38834-9302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Frazier, Randall Parks can be contacted via phone (662) 286-6369.

Contact Information

Primary practice address
611 Alcorn Dr Suite 100 Corinth MS 38834-9302
Phone: (662) 286-6369
Fax: (662) 286-2768
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 12016 Mississippi

Profile Details

NPI number 1851314033
LBN Legal business name Frazier, Randall Parks
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 22nd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851314033 NPPES
Mississippi MEDICAID 00015139

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