Individual
JAE MIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1630 PLEASANT HILL RD STE 230, DULUTH, GA 30096-5828
(678) 924-3434
(678) 924-3432
Mailing address
1630 PLEASANT HILL RD STE 230, DULUTH, GA 30096-5828
(678) 924-3434
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007440
GA
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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