Provider Demographics
NPI:1851476980
Name:PARRISH, THOMAS E (PA-C)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:E
Last Name:PARRISH
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113B HERTFORD COUNTY HIGH RD
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-8131
Mailing Address - Country:US
Mailing Address - Phone:252-209-8161
Mailing Address - Fax:252-209-6011
Practice Address - Street 1:113B HERTFORD COUNTY HIGH RD
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-8131
Practice Address - Country:US
Practice Address - Phone:252-209-8161
Practice Address - Fax:252-209-6011
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102242363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2751119BMedicare PIN
S73299Medicare UPIN
NC2751119Medicare PIN