Dwayne Parker

NPI #1437614906 in Powder Springs, Georgia

Provider Information

NPI Number: 1437614906
Entity Type: Individual
Name: Dwayne Parker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 8, 2019
Last Updated: Feb 8, 2019

Practice Location

Address: 1251 SILVERCREST CT
City: Powder Springs
State: Georgia
ZIP Code: 30127-6084
Phone: (954) 589-8697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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