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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