Search › Georgia › 207R00000X
Benjamin Park, MD
NPI 1124393558 · on the registry since 2012
Practice
- Address
- 1600 Clifton Rd Ne # Msc09
Atlanta, GA 30329 - Phone
- (404) 639-1619
- Fax
- (404) 639-0070
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-03-19
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