Richard L Parker Sr LLC

NPI #1699933713 in Tucker, Georgia

Provider Information

NPI Number: 1699933713
Entity Type: Organization
Organization Name: Richard L Parker Sr LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: May 27, 2008
Last Updated: May 27, 2008

Practice Location

Address: 1479 BROCKETT RD
Address 2: SUITE 101
City: Tucker
State: Georgia
ZIP Code: 30084-7326
Phone: (770) 414-4260

Authorized Official

Name: MR. RICHARD LANCE PARKER SR., C.O.F.
Title: PRESIDENT
Phone: (770) 414-4260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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