National Provider Identifier Database

SUSAN P PARKS, MD – NPI #1477745511
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

SUSAN P PARKS, MD
222 RANKIN RD
CANTON, MS39046-4874
Phone: 601-855-7420
Fax: 601-855-7421
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for SUSAN P PARKS

NPI Number 1477745511
Credentials MD
Entity Individual
Enumeration date 08/13/2007
Last updated 08/13/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • MS License #: 07348
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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