Individual
DR. SANDRA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(678) 628-1222
Mailing address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(678) 628-1222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036174012
IL
208600000X
Surgery Physician
Primary
111188
GA
Other
Enumeration date
05/01/2017
Last updated
08/11/2026
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