Individual
JONG-BEAK PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH., PH.D.
Contact information
Practice address
3051 SANDY PLAINS RD, MARIETTA, GA 30066-4721
(770) 977-7661
Mailing address
3051 SANDY PLAINS RD, MARIETTA, GA 30066-4721
(770) 977-7661
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038479
MI
Other
Enumeration date
04/28/2009
Last updated
09/11/2025
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