Provider Demographics
NPI:1255372371
Name:PARSONS, JAMES SHERIDAN (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SHERIDAN
Last Name:PARSONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:704 W JONES ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-1427
Mailing Address - Country:US
Mailing Address - Phone:919-832-5125
Mailing Address - Fax:919-833-7690
Practice Address - Street 1:704 W JONES ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-1427
Practice Address - Country:US
Practice Address - Phone:919-832-5125
Practice Address - Fax:919-833-7690
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20943207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8965675Medicaid
NC8965675Medicaid
NC202161KMedicare ID - Type Unspecified