Organization
ATLANTA CENTRAL MEDICAL GROUP, INC.
Active
Organization
ATLANTA CENTRAL MEDICAL GROUP, INC.
Active
Other names
Central medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KUY IK PARK (CEO)
(678) 467-9882
Entity
Organization
Contact information
Practice address
2400 PLEASANT HILL RD, 300, DULUTH, GA 30096-4396
(678) 467-9882
Mailing address
5360 BEAVER BR, NORCROSS, GA 30071-4579
(678) 467-9882
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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