Dlp Maria Parham Physician Practices LLC
in Henderson, NC. Organization (NPI-2).
NPI number1083197818
StatusActive
Last updated in NPPESSep 7, 2018
Details
- NPI
- 1083197818
- Entity type
- Organization (NPI-2)
- Legal business name
- Dlp Maria Parham Physician Practices LLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2018
- Last updated
- Sep 7, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | – | – | Yes | |
| 208600000X | Surgery | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Maria Parham Vein Clinic (Doing Business As)
Practice location
566 Ruin Creek RdHenderson, NC 27536-2927
Phone 252-436-1055
Mailing address
330 Seven Springs WayBrentwood, TN 37027-5098
Phone 615-920-7000 · Fax 615-920-8775
Authorized official
Sara L Miller
Director
6159207780
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