Individual
DR. SAMUEL PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSPH
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
100 WOODRUFF CIR NE STE P375, ATLANTA, GA 30322-1020
(404) 727-5655
(404) 727-0045
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
105219
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/07/2017
Last updated
07/29/2025
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