Provider Demographics
NPI:1689611360
Name:PARKER, CINDY J (MD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:J
Last Name:PARKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:596 RADIO HILL RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-4224
Mailing Address - Country:US
Mailing Address - Phone:276-783-2076
Mailing Address - Fax:
Practice Address - Street 1:596 RADIO HILL RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-4224
Practice Address - Country:US
Practice Address - Phone:276-783-2076
Practice Address - Fax:276-783-2402
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101240074207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA653837OtherSOUTHERN HEALTH
VA301292OtherANTHEM
VA00X451C01Medicare PIN
VAF59434Medicare UPIN