Basic Information
| Provider Information | |||||||||
| NPI: | 1609880707 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARRISH | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 119 AMBULANCE DR | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | CARROLLTON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 301173857 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7705376500 | ||||||||
| FaxNumber: | 7708369261 | ||||||||
| Practice Location | |||||||||
| Address1: | 204 ALLEN MEMORIAL DR | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | BREMEN | ||||||||
| State: | GA | ||||||||
| PostalCode: | 301102047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7705376500 | ||||||||
| FaxNumber: | 7708242600 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2006 | ||||||||
| LastUpdateDate: | 06/25/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 047989 | GA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.