Glenn R Parris, MD PC
Specialist in Lawrenceville, GA. Organization (NPI-2).
NPI number1720189285
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1720189285
- Entity type
- Organization (NPI-2)
- Legal business name
- Glenn R Parris, MD PC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2006
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- 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 |
|---|---|---|---|---|
| 174400000X | Specialist | 031646 | GA | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | – | – |
Other names
- Parris & Associates (Doing Business As)
Practice location
4850 Sugarloaf Pkwy Ste 501Lawrenceville, GA 30044-2864
Phone 770-962-1616 · Fax 770-962-7977
Mailing address
Po Box 1519Lilburn, GA 30048-1519
Phone 770-962-1616 · Fax 770-962-9986
Authorized official
Glenn R Parris
President/Ceo
7709621616
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