Individual
CHANDRA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
520 HAMIL RD, GRIFFIN, GA 30223-6637
(678) 357-5649
Mailing address
520 HAMIL RD, GRIFFIN, GA 30223-6637
(678) 357-5649
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN134914
GA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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