Individual
MS. MARY E PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1502 VALWOOD AVE, THOMASVILLE, GA 31792-3943
(229) 221-0173
Mailing address
1502 VALWOOD AVE, THOMASVILLE, GA 31792-3943
(229) 221-0173
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN075168
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
OTHER
FL
Enumeration date
09/18/2017
Last updated
06/16/2018
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