Provider Demographics
NPI:1740219294
Name:PARMA, EDWARD SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:SCOTT
Last Name:PARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2055 NORMANDIE DR
Mailing Address - Street 2:SUITE 314
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111-2732
Mailing Address - Country:US
Mailing Address - Phone:334-263-0105
Mailing Address - Fax:334-264-4386
Practice Address - Street 1:2055 NORMANDIE DR
Practice Address - Street 2:SUITE 314
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-2732
Practice Address - Country:US
Practice Address - Phone:334-263-0105
Practice Address - Fax:334-264-4386
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2019-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL24297207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051552977Medicaid
AL051552977Medicare ID - Type Unspecified
AL051552977Medicaid