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Individual

SOOJEONG KIM PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CDE

Contact information

Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 778-4991
Mailing address
2698 KNOX CREEK RD, DULUTH, GA 30097-2630
(408) 482-1110

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1031483
CA
133V00000X
Registered Dietitian
Primary
LD005865
GA

Other

Enumeration date
07/22/2009
Last updated
07/06/2021
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