Provider Demographics
NPI:1326211012
Name:PARKER, JOEL LOWELL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:LOWELL
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9287 FORDHAM DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1532
Mailing Address - Country:US
Mailing Address - Phone:225-284-7336
Mailing Address - Fax:
Practice Address - Street 1:9019 OVERLOOK BLVD STE C1B
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2737
Practice Address - Country:US
Practice Address - Phone:225-284-7336
Practice Address - Fax:615-807-4811
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYC2179207P00000X
390200000X
TN59956207R00000X
IN01068884A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program