Individual provider · Type 1 NPI

Charles David Parks, PA-C

Surgical Physician Assistant · Greensboro, NC

NPI number 1396663274 Active

Practice location

3824 N Elm St Ste 201
Greensboro, NC 27455-2733

Call (336) 890-2228 Map

Mailing address

202 S Bunker Hill Rd
Colfax, NC 27235-9724

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0010-16748 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1396663274

Charles David Parks, PA-C's National Provider Identifier is 1396663274, issued on Jul 8, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Greensboro, NC. The record was last updated on Jul 8, 2026.