Individual
TONYA DENEEN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1344 AUGUSTA AVE, SAVANNAH, GA 31415-2063
(912) 272-3011
Mailing address
1344 AUGUSTA AVE, SAVANNAH, GA 31415-2063
(912) 272-3011
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN060826
GA
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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