Provider Demographics
NPI:1730732637
Name:PARKER, MEGAN LEEANN (GC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LEEANN
Last Name:PARKER
Suffix:
Gender:F
Credentials:GC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 POPLAR AVE
Mailing Address - Street 2:BDLG. 2
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-2802
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:51 N DUNLAP ST
Practice Address - Street 2:4TH FL
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-2802
Practice Address - Country:US
Practice Address - Phone:901-287-7337
Practice Address - Fax:901-287-6499
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA