Individual
LINDSEY NICOLE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4800 OLDE TOWNE PKWY STE 320, MARIETTA, GA 30068-4357
(770) 442-1911
Mailing address
5714 FOREST DR, ACWORTH, GA 30102-5740
(678) 270-0269
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9658
GA
363AS0400X
Surgical Physician Assistant
9658
GA
Other
Enumeration date
05/17/2020
Last updated
06/19/2021
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