Provider Demographics
NPI:1538171350
Name:PARISH A. MCKINNEY MD PA
Entity type:Organization
Organization Name:PARISH A. MCKINNEY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PARISH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-282-1251
Mailing Address - Street 1:3817 LAWNDALE DR STE D
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-1641
Mailing Address - Country:US
Mailing Address - Phone:336-282-1251
Mailing Address - Fax:336-282-1252
Practice Address - Street 1:3817 LAWNDALE DR STE D
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-1641
Practice Address - Country:US
Practice Address - Phone:336-282-1251
Practice Address - Fax:336-282-1252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC97006642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1152041OtherUNITED BEHAVIORAL HEALTH
NC11284OtherBCBS
NC74112OtherMEDCOST