Individual
MR. SEONGMAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
990 OAK RIDGE TPKE, OAK RIDGE, TN 37830-6976
(865) 835-1000
Mailing address
990 OAK RIDGE TPKE, OAK RIDGE, TN 37830-6976
(865) 209-4219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
04/10/2025
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