Individual
DR. JUSTIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1664 MULKEY RD, AUSTELL, GA 30106-1114
(770) 422-1372
Mailing address
1664 MULKEY RD, AUSTELL, GA 30106-1114
(770) 422-1372
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
104097
GA
Other
Enumeration date
01/29/2018
Last updated
10/06/2025
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