Individual
HYUNG DONG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 JEFFERSON ST, WHITEVILLE, NC 28472
(910) 642-1776
(910) 642-9305
Mailing address
PO BOX 602530, CHARLOTTE, NC 28260-2530
(910) 642-1776
(910) 642-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009-01534
NC
207R00000X
Internal Medicine Physician
Primary
285118
NY
207R00000X
Internal Medicine Physician
MD00047265
WA
208M00000X
Hospitalist Physician
MD27189
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659418382
—
NC
Enumeration date
01/31/2007
Last updated
08/21/2018
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