Provider Demographics
NPI:1528043775
Name:PARKER, JAMES MAYNE (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MAYNE
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9800 LILE DRIVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-224-5658
Mailing Address - Fax:501-224-8114
Practice Address - Street 1:4200 NORTH RODNEY PARHAM
Practice Address - Street 2:SUITE 101
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212
Practice Address - Country:US
Practice Address - Phone:501-687-0800
Practice Address - Fax:501-687-0801
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC4048207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR53955Medicare ID - Type Unspecified
E05386Medicare UPIN