Individual
ANNY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
2320 PEACHTREE INDUSTRIAL BLVD STE 101, DULUTH, GA 30097-8045
(678) 821-5377
Mailing address
2320 PEACHTREE INDUSTRIAL BLVD STE 101, DULUTH, GA 30097-8045
(678) 821-5377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP290211
GA
363LF0000X
Family Nurse Practitioner
Primary
RN290211
GA
Other
Enumeration date
02/26/2024
Last updated
02/18/2026
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