Provider Demographics
NPI:1184865420
Name:PARKER & NOBLE THERAPEUTIC SUPPLIES INC
Entity Type:Organization
Organization Name:PARKER & NOBLE THERAPEUTIC SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:ONI
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:CFTS
Authorized Official - Phone:912-341-0606
Mailing Address - Street 1:6409 ABERCORN ST STE B1
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5796
Mailing Address - Country:US
Mailing Address - Phone:912-356-1222
Mailing Address - Fax:912-352-7006
Practice Address - Street 1:6409 ABERCORN ST SUITE B1
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405
Practice Address - Country:US
Practice Address - Phone:912-356-1222
Practice Address - Fax:912-352-7006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACFTS0624332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACFTS0624OtherCFTS0624
GACFTS0624OtherCFTS0624