Dr. Roberta Jean Parker
Podiatrist
730 West Lanier Avenue
Fayetteville
, Georgia 30214
Dr. Roberta Jean Parker
Podiatrist
730 West Lanier Avenue
Fayetteville
, Georgia 30214
(770) 460-0838
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Roberta Jean Parker
- 730 West Lanier Avenue
- Fayetteville, GA
- Zip : 30214
- Fax : (770) 460-0838
- Phone : (770) 460-5064
Second Address
- Dr. Roberta Jean Parker
- 730 West Lanier Avenue
- Fayetteville, GA
- Zip : 30214
- Fax : (770) 460-0838
- Phone : (770) 460-5064
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | GA000588 | GA |
| Y | 222Z00000X | Podiatrist | GA000588 | GA |
National Provider Identifier
| NPI | 1043288459 |
|---|---|
| Provider Name | Dr. Roberta Jean Parker |
| First Address | Fayetteville, GA 30214 |
| Second Address | Fayetteville, GA 30214 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00456244A | (05) | GA |
| T89056 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.