Individual
DR. SEUNG LYUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 19TH ST S, WP P220C, BIRMINGHAM, AL 35249-7331
(205) 975-9377
Mailing address
619 19TH ST S, WP P220C, BIRMINGHAM, AL 35249-7331
(205) 975-9377
Taxonomy
Speciality
Code
Description
License number
State
207ZC0008X
Clinical Informatics (Pathology) Physician
MD.32593
AL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD.32593
AL
Other
Enumeration date
05/04/2007
Last updated
10/16/2014
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