Individual
PETER JU PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WOODRUFF CIR NE, SUITE 327, ATLANTA, GA 30322-0001
(404) 712-4686
Mailing address
1364 CLIFTON NERD D125A, ATLANTA, GA 30322-1059
(404) 712-4686
(404) 712-7908
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
007281
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
007281
GA
Other
Enumeration date
02/26/2013
Last updated
11/05/2018
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