Individual
JERRELL PARKER ATWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 MARIETTA ST NW STE 126, ATLANTA, GA 30318-0524
(404) 549-5570
Mailing address
1330 FAIRMONT AVE NW UNIT 6061, ATLANTA, GA 30318-5196
(919) 928-4726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123672
GA
Other
Enumeration date
05/13/2024
Last updated
06/17/2025
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