Provider Demographics
NPI:1275706111
Name:PARRISH, DEIDRA DEMEATRA (MD)
Entity Type:Individual
Prefix:DR
First Name:DEIDRA
Middle Name:DEMEATRA
Last Name:PARRISH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 HART LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37243-1405
Mailing Address - Country:US
Mailing Address - Phone:615-650-7043
Mailing Address - Fax:615-262-6139
Practice Address - Street 1:710 HART LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-1405
Practice Address - Country:US
Practice Address - Phone:615-650-7043
Practice Address - Fax:615-262-6139
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059581207RI0200X
TN49278207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease