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Jung Min Park
NPI 1710413661 · on the registry since 2017
Practice
- Address
- 3420 Buford Dr Ste E780
Buford, GA 30519 - Phone
- (678) 765-9930
- Organisation at this address
- Modern Eyes Of Georgia, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-24
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