Individual
IH KOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 GROSS CRESCENT CIR, FT OGLETHORPE, GA 30742-3643
(706) 861-7275
Mailing address
100 GROSS CRESCENT CIR, FT OGLETHORPE, GA 30742-3643
(706) 861-7275
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15885
GA
208600000X
Surgery Physician
8922
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00062059B
—
GA
Enumeration date
07/28/2005
Last updated
09/28/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us