Provider Demographics
NPI:1114272473
Name:PARROTT, EMILIA ANNA
Entity Type:Individual
Prefix:
First Name:EMILIA
Middle Name:ANNA
Last Name:PARROTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1423 GREENFIELD STREET
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401
Mailing Address - Country:US
Mailing Address - Phone:910-833-9100
Mailing Address - Fax:910-833-9109
Practice Address - Street 1:1423 GREENFIELD STREET
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401
Practice Address - Country:US
Practice Address - Phone:910-833-9100
Practice Address - Fax:910-833-9109
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOL60473812207Q00000X
CA20A16409207Q00000X
WAOP60572215390200000X
NC2021-02927207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program