Individual
JESSICA MARIE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
317 SIMMS RD, CARROLLTON, GA 30117-5611
(678) 372-2931
Mailing address
317 SIMMS RD, CARROLLTON, GA 30117-5611
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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