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Contact Information

AMANDA PARKER, CRT
1500 E WOODROW WILSON AVE
JACKSON, MS39216-5116
 Phone: 601-362-4471
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for AMANDA PARKER · (Female)

NPI # 1750103974
Status Active
Credentials CRT
Entity Individual
Enumeration date 10/29/2024
Last updated 10/29/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MS License # RCP-2132
Hospital affiliation(s) Not Available
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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