Provider Demographics
NPI:1518123447
Name:MOREE, PARRISH F (MD)
Entity type:Individual
Prefix:
First Name:PARRISH
Middle Name:F
Last Name:MOREE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PARRISH
Other - Middle Name:D
Other - Last Name:FRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1021 W OAKLAND AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2192
Mailing Address - Country:US
Mailing Address - Phone:423-302-6565
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL PARK BLVD
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-7430
Practice Address - Country:US
Practice Address - Phone:423-844-1121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN54514208800000X
NC2013-01564208800000X
NC201564208800000X
VA0101260109208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNC1886Medicaid
NC1518123447Medicaid
TN103I340752Medicare PIN
NC1518123447Medicaid
SCNC1886Medicaid