Individual provider · Type 1 NPI

Randal Alexander Parks, PAC

Surgical Physician Assistant · Winston Salem, NC

NPI number 1265416630 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Call (336) 716-2255 Map

Fax (336) 716-8018

Mailing address

PO Box 344
Winston Salem, NC 27102-0344

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X100600 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1265416630

Randal Alexander Parks, PAC's National Provider Identifier is 1265416630, issued on Nov 30, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 15, 2010.