Search › Georgia › 103K00000X
Jane Park
NPI 1316574551 · on the registry since 2020
Practice
- Address
- 3032 Trickum Rd
Woodstock, GA 30188 - Phone
- (770) 855-7165
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-01
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