Individual
MS. SANDRA ANN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3604 SIX OAKS CT, DECATUR, GA 30034-4782
(404) 849-0392
Mailing address
3604 SIX OAKS CT, DECATUR, GA 30034-4782
(404) 849-0392
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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