Joshua Ridikas Parker
NPI #1083205801 in Fayetteville, Georgia
Provider Information
- NPI Number
- 1083205801
- Entity Type
- Individual
- Name
- Joshua Ridikas Parker
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Feb 3, 2021
- Last Updated
- Feb 3, 2021
Practice Location
- Address
- 168 EBENEZER CHURCH RD
- City
- Fayetteville
- State
- Georgia
- ZIP Code
- 30215-5201
- Phone
- (770) 639-7949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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