Individual
EUNICE YOONHEE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
Mailing address
304 SHAMUS WAY, JEFFERSON, GA 30549-7646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN261326
GA
367500000X
Certified Registered Nurse Anesthetist
158712
GA
367500000X
Certified Registered Nurse Anesthetist
4735720
GA
Other
Enumeration date
03/05/2026
Last updated
05/12/2026
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