Search › Georgia › 171100000X
Ellen Hyungkun Park, LAC
NPI 1245611425 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5720 Buford Hwy Ste 205
Norcross, GA 30071 - Phone
- (770) 447-7557
- Fax
- (770) 447-7557
- Organisation at this address
- Tressa Scineaux
Farmacia Latina Inc
Dr. Kissing Ob & Gyn
Jose L. Fajardo, D.M.D,P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-14
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