Parri B Adjoodani

Individual provider Active NPI Surgical Assistant · Gulfport, MS

NPI 1063006013 · NPPES record last updated Feb 21, 2021

Key facts

NPI
1063006013
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Assistant 246ZC0007X
Practice address
15200 Community Rd
Gulfport, MS 39503-3085
Phone
(404) 273-5164
NPI assigned
Feb 21, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X Yes

Addresses

Primary practice location

15200 Community Rd
Gulfport, MS 39503-3085

Mailing address

3037 Wendlock Dr
Marietta, GA 30062-1406
Phone (404) 273-5164

Other identifiers

IdentifierTypeStateIssuer
163297OtherTHE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING

Other names

  • Mrs. Parri B Adjoodani-Johnson Other name

Other providers in Gulfport, MS

All providers in Gulfport, MS · Surgical Assistant in Mississippi

Sources for this page

Verify at the official NPI Registry.