Search › Georgia › 111N00000X
Chan Kyu Park, D.C
NPI 1639541485 · on the registry since 2015
Practice
- Address
- 6630 Mcginnis Ferry Rd
Suite B
Johns Creek, GA 30097 - Phone
- (678) 473-0552
- Fax
- (678) 473-0656
- Organisation at this address
- Better Spine Better Health, Llc
Comprehensive Foot & Ankle, Llc
Northwest Diagnostic Imaging, IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111NR0400X
111NS0005X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-14
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