Individual
JOSEPH W. PARKS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 CAVENDER ST, NEWNAN, GA 30263-1931
(770) 253-6616
(770) 254-6185
Mailing address
15 CAVENDER ST, NEWNAN, GA 30263-1931
(770) 253-6616
(770) 254-6185
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
020586
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00178417A
—
GA
Enumeration date
12/01/2005
Last updated
04/12/2011
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