Individual
DANIEL R PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1550A MAGNOLIA ST, THOMASVILLE, GA 31792-7236
(229) 226-1621
Mailing address
1501 MILLPOND RD, THOMASVILLE, GA 31792-7636
(850) 376-5568
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001785
GA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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