NPI 1508004037

Sandra Ann Parker

Practitioner Contractor Decatur, GA

Practice location

Address: 3604 Six Oaks CT, Decatur, GA 30034-4782
Phone: (404) 849-0392

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1508004037
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2009
Record last updated: 21 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.