Individual
DR. BENJAMIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 CLIFTON RD NE # MSC09, ATLANTA, GA 30329-4018
(404) 639-1619
(404) 639-0070
Mailing address
1600 CLIFTON RD NE # MSC09, ATLANTA, GA 30329-4018
(404) 639-1619
(404) 639-0070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58091
GA
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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