Individual
YAEJIN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 GLENLAKE PKWY STE 130, ATLANTA, GA 30328-3495
(833) 351-8255
Mailing address
PO BOX 24449, NEW YORK, NY 10087-0589
(833) 351-8255
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101281531
VA
2084P0800X
Psychiatry Physician
Primary
102035
GA
2084P0800X
Psychiatry Physician
315124
NY
2084P0800X
Psychiatry Physician
D0100175
MD
2084P0800X
Psychiatry Physician
MD500002848
DC
Other
Enumeration date
04/03/2020
Last updated
01/15/2025
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