Individual
SA EUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1777 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2480
(404) 785-7878
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
99394
GA
2084P0804X
Child & Adolescent Psychiatry Physician
D85881
MD
Other
Enumeration date
07/07/2014
Last updated
09/05/2024
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