SUSAN P. PARKS M.D. – NPI #1477745511
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

SUSAN PARKS is a physician located in CANTON, MS. NPPES has assigned the NPI number 1477745511 to SUSAN PARKS on August 13, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN PARKS below.

NPI Profile for
SUSAN P. PARKS

NPI Number
1477745511
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN P. PARKS
Credentials
M.D.
Primary location
222 RANKIN RD
CANTON, MS 39046-4874
Phone: (601) 855-7420 Fax: (601) 855-7421
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)
MS 07348

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.