Ji Eun Park

NPI 1780200089 · on the registry since 2020 · sole proprietor

Practice

Address: 4855 River Green Pkwy Ste 110
Duluth, GA 30096
Phone: (770) 500-3757
Organisation at this address: Carelab Llc
Profound Wellness
The Vein Doctor, Llc
Youngshin Health Llc
Lifeline Primary Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: Dental Hygienist
124Q00000X
Also registered as: Dental Hygienist
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-12-29

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