Organization
LILLIAN DAVENPORT PARKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILLIAN GRACE PARKER CNSPMH (CLINICAL NURSE SPECIALIST)
(770) 987-1881
Entity
Organization
Contact information
Practice address
3629 WINDMILL RD, ELLENWOOD, GA 30294-2106
(770) 987-1881
Mailing address
3629 WINDMILL RD, ELLENWOOD, GA 30294-2106
(770) 987-1881
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN052630 CNSPMH
GA
Other
Enumeration date
01/09/2007
Last updated
06/20/2008
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