Individual
REGINALD A PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1425 MCFARLAND AVE, ROSSVILLE, GA 30741-2215
(706) 861-0863
(706) 861-3965
Mailing address
1425 MCFARLAND AVE, ROSSVILLE, GA 30741-2215
(706) 861-0863
(706) 861-3965
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PTA251
GA
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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