Provider Demographics
NPI:1467781989
Name:PARRISH, BRENDA S (CPM)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:S
Last Name:PARRISH
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1837 GLYNDA DR NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-2651
Mailing Address - Country:US
Mailing Address - Phone:404-416-8445
Mailing Address - Fax:404-352-5125
Practice Address - Street 1:1837 GLYNDA DR NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-2651
Practice Address - Country:US
Practice Address - Phone:404-416-8445
Practice Address - Fax:404-352-5125
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-11
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife