Individual
DR. MICHAEL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
35 COLLIER RD NW, SUITE 775, ATLANTA, GA 30309-1613
(404) 350-1122
(404) 609-7608
Mailing address
35 COLLIER RD NW, SUITE 775, ATLANTA, GA 30309-1613
(404) 350-1122
(404) 609-7608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
074051
GA
Other
Enumeration date
06/19/2012
Last updated
12/16/2015
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