Provider Demographics
NPI:1366829897
Name:PARKER, WENDY (DC)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 SAM NEWELL RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-7593
Mailing Address - Country:US
Mailing Address - Phone:704-847-8308
Mailing Address - Fax:704-841-1819
Practice Address - Street 1:855 SAM NEWELL RD
Practice Address - Street 2:SUITE 202
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-7593
Practice Address - Country:US
Practice Address - Phone:704-847-8308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4552111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor