Individual
JULIE HALL PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-7183
Mailing address
115 OAK PARK SQ, NEWNAN, GA 30265-5512
(770) 252-3659
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001298
GA
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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