Search › Georgia › 171100000X
Seong Park, L.AC
NPI 1245592211 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1790 Atkinson Rd.
Suite A
Lawrenceville, GA 30043 - Phone
- (770) 936-0631
- Fax
- (770) 936-0631
- Organisation at this address
- Mk Podiatry Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-14
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