Individual
WILLIE J PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5455 MERIDIAN MARK RD, 530, ATLANTA, GA 30342
(404) 256-2593
(678) 547-1494
Mailing address
2835 BRANDYWINE RD, 300, ATLANTA, GA 30341
(404) 256-2593
(678) 547-1494
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
025378
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00349557B
—
GA
Enumeration date
06/08/2006
Last updated
07/08/2007
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