Randal Alexander Parks in Winston Salem - Surgical
Randal Alexander Parks - NPI 1265416630
Randal Alexander Parks is a Surgical in Winston Salem, North Carolina. Randal Alexander Parks practices all healthcare services and medical treatments related to Surgical. The NPI Number for Randal Alexander Parks is 1265416630. The last update date is 2010-11-15.
Randal Alexander Parks's current location address is Po Box 344, Winston Salem, North Carolina. You can contact this provider via phone number 3367162255 and fax number 3367168018. The mailing address for Randal Alexander Parks is Po Box 344, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randal Alexander Parks |
|---|---|
| Address | Po Box 344, Winston Salem, North Carolina |
| Phone Number | 3367162255 |
| Fax Number | 3367168018 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1265416630 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2010-11-15 |
Provider Mailing Address Detail
| Address | Po Box 344 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271020344 |
| Phone Number | 3367162255 |
| Fax Number | 3367168018 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 100600 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 970025223 | RR MEDICARE | ||
| 7014643 | AETNA | ||
| 94697 | MEDCOST |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randal Alexander Parks by the Centers for Medicare & Medicaid Services?
The Randal Alexander Parks has been issued the NPI (National Provider Identifier) 1265416630, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randal Alexander Parks's physical address?
The Randal Alexander Parks is physically located at Po Box 344, in the city of Winston Salem, NC, with the postal code 271020344.
What is Randal Alexander Parks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Randal Alexander Parks is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265416630 to Randal Alexander Parks?
The Centers for Medicare & Medicaid Services originally issued the 1265416630 to Randal Alexander Parks on 2005-11-30.
As of what date was the information regarding Randal Alexander Parks, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Randal Alexander Parks, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-11-15.