Doctor Name: | BETTY PARRISH |
NPI Number: | 1720476237 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPN |
License Number: | 56210 |
Business Practice Address: | 1310 Brampton Ave Statesboro, GA - 30458 |
Business Phone Number: | 9128716206 |
Business Fax Number: | 9126817400 |
Mailing Address: | 1310 Brampton Ave, STATESBORO |
State: | GA |
Postal Code: | 304580851 |
Phone Number: | 9128716206 |
Fax Number: | 9126817400 |
NPI Enumeration Date: | 01/06/2015 |
NPI Last Update Date: | 01/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 56210 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GU |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |