Individual
KATHRYN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 NORTHSIDE CHEROKEE BLVD STE 230, CANTON, GA 30115-8015
(770) 721-9460
(770) 721-9461
Mailing address
22 S GREENE ST # S4C12, BALTIMORE, MD 21201-1544
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
83384
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2012
Last updated
10/28/2020
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