Provider Demographics
NPI:1912719949
Name:PARKS, APRIL (MD)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:PARKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 CANTERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ELLABELL
Mailing Address - State:GA
Mailing Address - Zip Code:31308-5448
Mailing Address - Country:US
Mailing Address - Phone:239-207-5261
Mailing Address - Fax:
Practice Address - Street 1:165 CANTERWOOD DR
Practice Address - Street 2:
Practice Address - City:ELLABELL
Practice Address - State:GA
Practice Address - Zip Code:31308-5448
Practice Address - Country:US
Practice Address - Phone:239-207-5261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty