Provider Demographics
NPI:1932128303
Name:PARKER, FRANK M JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:M
Last Name:PARKER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:105 BRIARCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-4099
Mailing Address - Country:US
Mailing Address - Phone:478-922-3191
Mailing Address - Fax:478-922-6330
Practice Address - Street 1:105 BRIARCLIFF RD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-4099
Practice Address - Country:US
Practice Address - Phone:478-922-3191
Practice Address - Fax:478-922-6330
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2012-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA017871207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000212462AMedicaid
GA000212462AMedicaid