Doctor Name: | CHARLES W PARRISH |
NPI Number: | 1033167440 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 20797 |
Business Practice Address: | 118 Patriot Dr Suite 102 Bardstown, KY - 400049093 |
Business Phone Number: | 5023501022 |
Business Fax Number: | 5023501021 |
Mailing Address: | 6801 Dixie Hwy, Suite 130 LOUISVILLE |
State: | KY |
Postal Code: | 402583913 |
Phone Number: | 5023501022 |
Fax Number: | 5023501021 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20797 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |