Individual
MRS. PENNIE CHRISTIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
605 W GORDON ST, THOMASTON, GA 30286-3425
(706) 646-6040
(706) 646-6039
Mailing address
542 MEADOW DR, THOMASTON, GA 30286-2416
(404) 406-1384
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN47942
GA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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