JERRELL PARKER ATWATER

ATLANTA, GA
NPI1437908555
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-13
Last Update Date2024-05-13
Business Address
JERRELL PARKER ATWATER DDS
341 PONCE DE LEON AVE NE
ATLANTA, GA 30308-2012
Phone number: 212-263-1229
Mailing Address
JERRELL PARKER ATWATER DDS
1220 MECASLIN ST NW APT 3456
ATLANTA, GA 30318-5671
Phone number: 919-928-4726