Provider Demographics
NPI:1235245754
Name:DR WILLIAM M PARSLEY MD PSC
Entity Type:Organization
Organization Name:DR WILLIAM M PARSLEY MD PSC
Other - Org Name:ADVANCED DERMATOLOGY & DERMAESTHETICS OF LOUISVILLE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SONNIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-585-5249
Mailing Address - Street 1:310 E BROADWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1745
Mailing Address - Country:US
Mailing Address - Phone:502-585-5249
Mailing Address - Fax:502-585-5251
Practice Address - Street 1:310 E BROADWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1745
Practice Address - Country:US
Practice Address - Phone:502-585-5249
Practice Address - Fax:502-585-5251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathologyGroup - Multi-Specialty