Individual
SORA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
519 MEMORIAL DR SE UNIT B10, ATLANTA, GA 30312-2289
(470) 223-8983
Mailing address
113 S. PERRY ST., STE 206 #8276, LAWRENCEVILLE, GA 30046
(470) 223-8983
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
95846
GA
Other
Enumeration date
04/02/2019
Last updated
08/23/2023
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