Individual
DANIEL PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 GLEN WAY NE, BROOKHAVEN, GA 30319-3038
(706) 296-3248
Mailing address
1209 GLEN WAY NE, BROOKHAVEN, GA 30319-3038
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/27/2025
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