Parks, Joseph W.
Parks, Joseph W. is an individual health care provider with primary practice located at 15 Cavender St , Newnan GA 30263-1931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Parks, Joseph W. can be contacted via phone (770) 253-6616.Contact Information
Primary practice address
15 Cavender St
Newnan GA 30263-1931
Phone: (770) 253-6616
Fax: (770) 254-6185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 020586 | Georgia |
Profile Details
| NPI number | 1194709352 |
|---|---|
| LBN Legal business name | Parks, Joseph W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Apr 12th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194709352 | NPPES |
| Georgia | MEDICAID | 00178417A |
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