Individual
MRS. LILLIAN GRACE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
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
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN052630
GA
Other
Enumeration date
01/23/2007
Last updated
06/30/2008
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