Provider Demographics
NPI:1457802977
Name:PARFITT, CORIE
Entity Type:Individual
Prefix:
First Name:CORIE
Middle Name:
Last Name:PARFITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 FOXBOROUGH LN
Mailing Address - Street 2:
Mailing Address - City:BONAIRE
Mailing Address - State:GA
Mailing Address - Zip Code:31005-3663
Mailing Address - Country:US
Mailing Address - Phone:478-290-2359
Mailing Address - Fax:
Practice Address - Street 1:610 FOXBOROUGH LN
Practice Address - Street 2:
Practice Address - City:BONAIRE
Practice Address - State:GA
Practice Address - Zip Code:31005-3663
Practice Address - Country:US
Practice Address - Phone:478-290-2359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)