Provider Demographics
NPI:1417224015
Name:JAMES A PARKER MD PC
Entity Type:Organization
Organization Name:JAMES A PARKER MD PC
Other - Org Name:PARKER PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-543-0404
Mailing Address - Street 1:3320 OLD JEFFERSON RD
Mailing Address - Street 2:BULDING 100
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30607-1400
Mailing Address - Country:US
Mailing Address - Phone:706-543-0404
Mailing Address - Fax:706-353-3777
Practice Address - Street 1:3320 OLD JEFFERSON RD
Practice Address - Street 2:BULDING 100
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30607-1400
Practice Address - Country:US
Practice Address - Phone:706-543-0404
Practice Address - Fax:706-353-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-27
Last Update Date:2011-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty