Individual
HANNAH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 HOSPITAL BLVD STE 115, ROSWELL, GA 30076-4946
(770) 475-0123
Mailing address
2500 HOSPITAL BLVD STE 115, ROSWELL, GA 30076-4946
(770) 475-0123
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
82392
GA
Other
Enumeration date
04/19/2015
Last updated
08/06/2019
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