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Search › Georgia › 171100000X

Jae Park, ACUPUNCTURIST

NPI 1023199924 · on the registry since 2006

Practice

Address
300 W Hospital Rd Bldg 3006th
Interdisciplinary Pain Management Center
Fort Gordon, GA 30905
Phone
(706) 787-0716
Fax
(706) 787-0196
Organisation at this address
Ddeamc
Amc Eisenhower
United States Army
United States Army
United States Army
Inferred from a shared address, not stated in the registry.
Clinicians at this address
273

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia