Provider Demographics
NPI:1699927129
Name:PARLETTE, HARRY LESLIE III (MD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:LESLIE
Last Name:PARLETTE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 TERRELL RD E
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2166
Mailing Address - Country:US
Mailing Address - Phone:434-293-4310
Mailing Address - Fax:
Practice Address - Street 1:125 TERRELL RD E
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-2166
Practice Address - Country:US
Practice Address - Phone:434-293-4310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101029695207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA068535OtherANTHEM
VA005924120Medicaid
VA214070OtherCIGMA
VA235271OtherMAMSI
VA070000137Medicare PIN
VA235271OtherMAMSI