Individual
BONNIE ANN PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3785 SIXES RD, CANTON, GA 30114-7809
(770) 720-3466
(770) 720-3397
Mailing address
3785 SIXES RD, CANTON, GA 30114-7809
(770) 720-3466
(770) 720-3397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN087485
GA
Other
Enumeration date
12/04/2007
Last updated
01/07/2014
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