Search › Georgia › 171100000X
Henry Park, L.AC
NPI 1841328325 · on the registry since 2007 · sole proprietor
Practice
- Address
- 5720 Buford Hwy Ste 205
Norcross, GA 30071 - Phone
- (678) 927-5000
- Fax
- (770) 447-7557
- Organisation at this address
- Tressa Scineaux
Farmacia Latina Inc
Dr. Kissing Ob & Gyn
Jose L. Fajardo, D.M.D,P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 171100000X
- Licence states on file
- GA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-03-23
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