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NPI Code Detail

MEDICARE: SONJA T PARKER CAC II

MEDICARE: SONJA T PARKER CAC II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor1661GA

General Provider Information

NPI Number : 1508910175
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONJA T PARKER CAC II
Provider Business Mailing Address
First Line : 2403 INVERNESS PKWY
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-1908
Country : US
Telephone Number : 706-571-0240
Fax Number : 706-324-0027
Provider Business Practice Location Address
First Line : 9067 VETERANS PKWY
Second Line :
City : MIDLAND
State : GA
Zip : 31820-3411
Country : US
Telephone Number : 706-324-7241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 07/08/2007

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Directions to “ SONJA T PARKER CAC II” Practice Location

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