Organization
PARK ROBERT MITCHELL, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARK ROBERT MITCHELL M.D. (PRESIDENT)
(770) 427-0171
Entity
Organization
Contact information
Practice address
1600 KENNESAW DUE WEST RD NW, STE 620, KENNESAW, GA 30152-4301
(770) 427-0171
(770) 427-2921
Mailing address
1600 KENNESAW DUE WEST RD NW, STE 620, KENNESAW, GA 30152-4301
(770) 427-0171
(770) 427-2921
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
05/20/2008
Last updated
07/02/2012
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