Stephanie Delphine Parris in Kennesaw - Physician Assistant
Stephanie Delphine Parris - NPI 1912123183
Stephanie Delphine Parris is a Physician Assistant in Kennesaw, Georgia. Stephanie Delphine Parris practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephanie Delphine Parris is 1912123183. The last update date is 2021-11-05.
Stephanie Delphine Parris's current location address is 1372 Pembridge Trce Nw, Kennesaw, Georgia. You can contact this provider via phone number 7706272675. The mailing address for Stephanie Delphine Parris is 1372 Pembridge Trce Nw, Kennesaw, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Delphine Parris |
|---|---|
| Address | 1372 Pembridge Trce Nw, Kennesaw, Georgia |
| Phone Number | 7706272675 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1912123183 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2021-11-05 |
Provider Mailing Address Detail
| Address | 1372 Pembridge Trce Nw |
|---|---|
| City | Kennesaw |
| State | Georgia (GA) |
| Post Code | 301525471 |
| Phone Number | 7706272675 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4454 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4454 | GA | PHYSICIAN ASSISTANT LICEN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephanie Delphine Parris by the Centers for Medicare & Medicaid Services?
The Stephanie Delphine Parris has been issued the NPI (National Provider Identifier) 1912123183, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stephanie Delphine Parris located?
The Stephanie Delphine Parris is located at 1372 Pembridge Trce Nw, Kennesaw, GA 301525471.
What is Stephanie Delphine Parris's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephanie Delphine Parris's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912123183 to Stephanie Delphine Parris?
The Centers for Medicare & Medicaid Services assigned the 1912123183 to Stephanie Delphine Parris on 2007-04-17.
As of what date was the information pertaining to Stephanie Delphine Parris, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stephanie Delphine Parris, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-05.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC