Harrison, Newt Parks

Harrison, Newt Parks is an individual health care provider with primary practice located at 440 Pegram Dr , Tupelo MS 38801-6319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Harrison, Newt Parks can be contacted via phone (662) 844-5344.

Contact Information

Primary practice address
440 Pegram Dr Tupelo MS 38801-6319
Phone: (662) 844-5344
Fax: (662) 844-5363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 15992 Mississippi
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 15992 Mississippi

Profile Details

NPI number 1285619163
LBN Legal business name Harrison, Newt Parks
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jul 8th, 2007 - about 18 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 1285619163 NPPES
Mississippi MEDICAID 00126134

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