Individual
MRS. HANNA LEE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11459 JOHNS CREEK PKWY STE 250, JOHNS CREEK, GA 30097-3517
(770) 497-1555
(770) 497-9998
Mailing address
11459 JOHNS CREEK PKWY, JOHNS CREEK, GA 30097-3515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN205794
GA
Other
Enumeration date
03/26/2015
Last updated
03/27/2015
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