Eric D Parks is a Sports Medicine in Johnson City, Tennessee. Eric D Parks practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Eric D Parks is 1295936391. The last update date is 2019-12-17.
Eric D Parks's current location address is 2410 Susannah St, Johnson City, Tennessee. You can contact this provider via phone number 4232829011 and fax number 4232829572. The mailing address for Eric D Parks is 2410 Susannah St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric D Parks |
|---|---|
| Address | 2410 Susannah St, Johnson City, Tennessee |
| Phone Number | 4232829011 |
| Fax Number | 4232829572 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1295936391 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2019-12-17 |
Provider Mailing Address Detail
| Address | 2410 Susannah St |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376011765 |
| Phone Number | 4232829011 |
| Fax Number | 4232829572 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MD42823 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1514233 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Eric D Parks by the Centers for Medicare & Medicaid Services?
The Eric D Parks has been issued the NPI (National Provider Identifier) 1295936391 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Eric D Parks is located?
The Eric D Parks is situated at the following address: 2410 Susannah St, Johnson City, TN, 376011765.
What is Eric D Parks's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eric D Parks's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qs0010X.
On what date was the 1295936391 assigned to Eric D Parks?
The Eric D Parks was issued its 1295936391 on 2007-05-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Eric D Parks, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eric D Parks, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-12-17.