Organization
WHITWELL MEDICAL PLAZA
Active
Other names
Jung Tae Park
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG TAE PARK M.D. (MD-OWNER)
(423) 658-9200
Entity
Organization
Contact information
Practice address
13851 HIGHWAY 28, WHITWELL, TN 37397-5373
(423) 658-9200
(423) 658-2195
Mailing address
13851 HIGHWAY 28 PO BOX 400, WHITWELL, TN 37397-5373
(423) 658-9200
(423) 658-2195
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
11/01/2017
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