Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAE YOUNG PARK, ACUPUNCTURIST
ActiveDR. JAE YOUNG PARK, ACUPUNCTURIST is a Acupuncturist healthcare provider located in FORT GORDON, Georgia. NPI 1023199924 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · FORT GORDON, GA
Registration Details
- NPI Number
- 1023199924
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2006 (19.785340975064 yrs)
- Last Updated
- Jul 28, 2015
- License
-
11226 (CA)
Practice Information
- Address
-
300 W HOSPITAL RD BLDG 3006THINTERDISCIPLINARY PAIN MANAGEMENT CENTERFORT GORDON, GA, 309055741Browse GA providers · Browse ZIP 30905
- Phone
- 7067870716
- Fax
- 7067870196
- Primary Specialty
-
Acupuncturist
171100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.