Individual
DR. EDWARD M. PARKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
720 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 229-9316
(770) 229-9317
Mailing address
720 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 229-9316
(770) 229-9317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010161
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00359785A
—
GA
01
—
100811
AVESIS PROVIDER NUMBER
GA
01
—
9181268
DORAL PROVIDER NUMBER
GA
Enumeration date
07/20/2006
Last updated
12/12/2007
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