Individual
MR. JEONGPIL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
101 E MATTHEWS ST, SUITE 700, MATTHEWS, NC 28105-4866
(704) 841-1701
(704) 841-1596
Mailing address
101 E MATTHEWS ST, SUITE 700, MATTHEWS, NC 28105-4866
(704) 841-1701
(704) 841-1596
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3352
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902382
—
NC
Enumeration date
02/06/2006
Last updated
07/09/2007
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