Individual
MR. JI YOON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 MACCORKLE AVENUE SOUTHEAST, CAMC MEMORIAL HOSPITAL INTERNAL MEDICINE, CHARLESTON, WV 25304
(304) 388-5590
(304) 388-8238
Mailing address
150, BUHEUNG-RO, , BUCHEON-SI GYEONGGIP-DO, REPUBLIC OF, SARANG APT 1612-1402, BUCHEON-SI, GYEONGGI-DI 14600
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
08/15/2023
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