Individual
ORA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
255 ORCHID DR, MCDONOUGH, GA 30252-8972
(404) 432-1708
Mailing address
255 ORCHID DR, MCDONOUGH, GA 30252-8972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243897
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243897
RN LICENSE
GA
01
—
RN243897
GEORGIA BOARD OF NURSING
GA
Enumeration date
02/20/2023
Last updated
02/20/2023
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