Organization
PARKER ACTIVE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE PARKER (OWNER)
(770) 560-5556
Entity
Organization
Contact information
Practice address
1303 VETERANS MEMORIAL HWY SE, MABLETON, GA 30126-2848
(770) 560-5556
Mailing address
1251 SILVERCREST CT, POWDER SPRINGS, GA 30127-6084
(770) 560-5556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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