Jae Park, M.D

NPI 1437365814 · on the registry since 2007 · sole proprietor

Practice

Address: 6185 Buford Hwy
Suite B-104
Norcross, GA 30071
Phone: (770) 416-0099
Fax: (770) 416-0022
Organisation at this address: Cosmo Health Care
Center For Pan Asian Community Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 207VG0400X
207VG0400X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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