Provider Demographics
NPI:1447603121
Name:PARSONS, MARVIN N JR
Entity Type:Individual
Prefix:
First Name:MARVIN
Middle Name:N
Last Name:PARSONS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 W MONROE ST
Mailing Address - Street 2:# 141
Mailing Address - City:WYTHEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24382-2341
Mailing Address - Country:US
Mailing Address - Phone:276-637-1141
Mailing Address - Fax:
Practice Address - Street 1:917 TOPAZ DR UNIT G
Practice Address - Street 2:
Practice Address - City:MAX MEADOWS
Practice Address - State:VA
Practice Address - Zip Code:24360-3804
Practice Address - Country:US
Practice Address - Phone:276-637-1141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-19
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)