Provider Demographics
NPI:1063960748
Name:PARRISH, LYNDA LOUISE
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:LOUISE
Last Name:PARRISH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:842 N HIGHLAND AVE NE STE 223
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-4530
Mailing Address - Country:US
Mailing Address - Phone:404-456-1061
Mailing Address - Fax:573-230-7813
Practice Address - Street 1:842 N HIGHLAND AVE NE STE 223
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-4530
Practice Address - Country:US
Practice Address - Phone:404-456-1061
Practice Address - Fax:573-230-7813
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist