Individual
DR. ROBERTA JEAN PARKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
730 WEST LANIER AVENUE, FAYETTEVILLE, GA 30214
(770) 460-5064
(770) 460-0838
Mailing address
730 WEST LANIER AVENUE, FAYETTEVILLE, GA 30214
(770) 460-5064
(770) 460-0838
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
GA000588
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00456244A
—
GA
Enumeration date
03/10/2006
Last updated
07/08/2007
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