Individual
JENNIE HAELYNN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1459 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-2541
Mailing address
1459 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17618
GA
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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