Individual
CATHERINE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2015 UPPERGATE DR NE, ATLANTA, GA 30322-2800
(404) 712-1546
Mailing address
1328 WEATHERSTONE WAY NE, ATLANTA, GA 30324-4645
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
53684
TN
208000000X
Pediatrics Physician
Primary
78174
GA
Other
Enumeration date
05/07/2013
Last updated
06/05/2017
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