JOSHUA RIDIKAS PARKER

FAYETTEVILLE, GA
NPI1083205801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT002879)
Enumeration Date2021-02-03
Last Update Date2021-02-03
Business Address
JOSHUA RIDIKAS PARKER
168 EBENEZER CHURCH RD
FAYETTEVILLE, GA 30215-5201
Phone number: 770-639-7949
Mailing Address
JOSHUA RIDIKAS PARKER
168 EBENEZER CHURCH RD
FAYETTEVILLE, GA 30215-5201
Phone number: 770-639-7949