Individual
CATHERINE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308
(404) 686-8181
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2245
(404) 686-8181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-092791
IL
207R00000X
Internal Medicine Physician
Primary
082071
GA
Other
Enumeration date
08/31/2006
Last updated
02/13/2019
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