Individual
DR. JUNGSUB PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
143 POWERS FERRY RD SE, MARIETTA, GA 30067-7557
(770) 509-5558
Mailing address
143 POWERS FERRY RD SE, MARIETTA, GA 30067-7557
(770) 509-5558
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007138
GA
Other
Enumeration date
03/26/2007
Last updated
07/09/2007
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