Individual
DR. SONNY YONG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1988 KINGS GATE LN, MOUNT PLEASANT, SC 29466-8191
(864) 640-0395
Mailing address
1988 KINGS GATE LN, MOUNT PLEASANT, SC 29466-8191
(864) 640-0395
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01078315A
IN
207P00000X
Emergency Medicine Physician
1987320
WI
207P00000X
Emergency Medicine Physician
Primary
25559
SC
207Q00000X
Family Medicine Physician
25MA10015400
NJ
207Q00000X
Family Medicine Physician
MD22311
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33329
STATE MEDICAL LICENSE
AZ
Enumeration date
08/30/2005
Last updated
09/15/2025
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