Individual
SEAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
2086 JODECO RD # 1251, MCDONOUGH, GA 30253-5220
(980) 254-2256
Mailing address
2086 JODECO RD # 1251, MCDONOUGH, GA 30253-5220
(980) 254-2256
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
01/18/2024
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