Parris, Addison Roger
Parris, Addison Roger is an individual health care provider with primary practice located at 1211 Sherwood Park Dr Ne Ste B , Gainesville GA 30501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Parris, Addison Roger can be contacted via phone (770) 219-4840.Contact Information
Primary practice address
1211 Sherwood Park Dr Ne Ste B
Gainesville GA 30501
Phone: (770) 219-4840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 71009 | Georgia |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 0101239683 | Virginia |
Profile Details
| NPI number | 1720035421 |
|---|---|
| LBN Legal business name | Parris, Addison Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Oct 23rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720035421 | NPPES |
| Virginia | Other | 1000870001 | DME PROVIDER |
| Virginia | Other | 3810006037 | DME PROVIDER |
| Virginia | Other | 437717 | DME PROVIDER |
| Virginia | Other | 201185 | DME PROVIDER |
| Virginia | Other | 10010531 | DME PROVIDER |
| Virginia | MEDICAID | 010306213 | DME PROVIDER |
| Virginia | Other | P00383382 | DME PROVIDER |
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