Individual
GA EUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 UNIVERSITY BLVD, BIRMINGHAM, AL 35233-2060
(800) 822-8816
Mailing address
8607 HEARTHSTONE DR, MONTGOMERY, AL 36117-8871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-196332
AL
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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