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Individual

JIHE PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
313 WICKLEY WAY, WOODSTOCK, GA 30188-7045
(404) 663-2177
Mailing address
313 WICKLEY WAY, WOODSTOCK, GA 30188-7045
(404) 663-2177

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN270122
GA

Other

Enumeration date
04/28/2022
Last updated
04/28/2022
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