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1437908555
JERRELL PARKER ATWATER
ATLANTA, GA
NPI
1437908555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-13
Last Update Date
2024-05-13
Business Address
JERRELL PARKER ATWATER DDS
341 PONCE DE LEON AVE NE
ATLANTA, GA 30308-2012
Phone number: 212-263-1229
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Mailing Address
JERRELL PARKER ATWATER DDS
1220 MECASLIN ST NW APT 3456
ATLANTA, GA 30318-5671
Phone number: 919-928-4726
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