Parker, David Keith

Parker, David Keith is an individual health care provider with primary practice located at 2704 N Oak St Bldg F, Valdosta GA 31602-1744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Parker, David Keith can be contacted via phone (229) 242-4996.

Contact Information

Primary practice address
2704 N Oak St Bldg F Valdosta GA 31602-1744
Fax: (229) 242-2306
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 045572 Georgia

Profile Details

NPI number 1306819040
LBN Legal business name Parker, David Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Sep 20th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306819040 NPPES
Georgia MEDICAID 000796606A

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