Basic Information
Provider Information
NPI: 1952397317
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARLER-KAMARA
FirstName: TINA
MiddleName: MARGARET
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5000 COX RD
Address2:  
City: GLEN ALLEN
State: VA
PostalCode: 230609263
CountryCode: US
TelephoneNumber: 8049658700
FaxNumber:  
Practice Location
Address1: 3357B CORRIDOR MARKETPLACE
Address2:  
City: LAUREL
State: MD
PostalCode: 207242381
CountryCode: US
TelephoneNumber: 3014971820
FaxNumber: 3014975489
Other Information
ProviderEnumerationDate: 09/21/2005
LastUpdateDate: 04/09/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XDOO25467MDY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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