Provider Demographics
NPI:1558709261
Name:PARMLEY, TIM HENNESSEY II (M D)
Entity Type:Individual
Prefix:DR
First Name:TIM
Middle Name:HENNESSEY
Last Name:PARMLEY
Suffix:II
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:HATTIEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72063-8858
Mailing Address - Country:US
Mailing Address - Phone:501-477-2332
Mailing Address - Fax:
Practice Address - Street 1:2 MEMORY LN
Practice Address - Street 2:
Practice Address - City:HATTIEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72063-8858
Practice Address - Country:US
Practice Address - Phone:501-477-2332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR-3818207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology