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Individual

DR. HAE K PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3405 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 792-7021
Mailing address
3405 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 792-7021

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
035304
GA

Other

Enumeration date
10/06/2006
Last updated
07/08/2007
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