| Paul Craig Parker, Md | |
|
101 E Fairway Dr Suite 402 Covington LA 70433-7503 | |
| (985) 893-1070 | |
| (985) 893-1083 |
| Full Name | Paul Craig Parker, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 E Fairway Dr, Covington, Louisiana |
| Authorized Official Name and Position | Diane Lynn Walker (OFFICE MANAGERT) |
| Authorized Official Contact | 9858931070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Craig Parker, Md 101 E Fairway Dr Suite 402 Covington LA 70433-7503 Ph: (985) 893-1070 | Paul Craig Parker, Md 101 E Fairway Dr Suite 402 Covington LA 70433-7503 Ph: (985) 893-1070 |
| NPI Number | 1306933965 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306933965 | NPI | - | NPPES |
| 1339555 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 015828 (Louisiana) | Primary |
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