Provider Information for 1942357116
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Dr. MAGNA PARKS PORTERFIELD Ph.D.
Other Names:Former Name:Dr. MAGNA JAMES PARKS Ph.D.Sex: Female
NPI: 1942357116
Last Updated: 2022-07-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1942357116 | ||||||||||||
| Enumeration Date | 2007-01-03 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 201 WATER HILL RD APT A19 MADISON, AL 35758-2912 United States Phone: 678-665-7968 | Fax: | ||||||||||||
| Primary Practice Address | 936 JEFF RD NW HUNTSVILLE, AL 35806-1238 United States Phone: 256-837-2127 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 225 CEDAR RD | ||||||||||||
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