Individual
DR. JAE K PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6185 BUFORD HWY, SUITE B-104, NORCROSS, GA 30071-2350
(770) 416-0099
(770) 416-0022
Mailing address
6185 BUFORD HWY, SUITE B-104, NORCROSS, GA 30071-2350
(770) 416-0099
(770) 416-0022
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
030177
GA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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