Waylon Morris Parker, MD
General Practice in Jackson, LA. Individual provider (NPI-1).
NPI number1609914902
StatusActive
Last updated in NPPESNov 24, 2009
Details
- NPI
- 1609914902
- Entity type
- Individual (NPI-1)
- Name
- Waylon Morris Parker
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2007
- Last updated
- Nov 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 016672 | LA | Yes |
| 208000000X | Pediatrics | 016672 | LA |
Practice location
5002 Highway 10Villa Feliciana Medical Complex
Jackson, LA 70748
Phone 225-634-4079
Mailing address
5635 Main StreetSuite A #222
Zachary, LA 70791
Phone 225-634-4079
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