Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOOMI PARK, PA-C
ActiveSOOMI PARK, PA-C is a Physician Assistant healthcare provider located in CUMMING, Georgia. NPI 1184358566 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CUMMING, GA
Registration Details
- NPI Number
- 1184358566
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2022 (4.0843006859383 yrs)
- Last Updated
- Jan 10, 2025
- Licenses
-
50.007530RX (OH)12815 (GA)
Practice Information
- Address
-
1200 NORTHSIDE FORSYTH DRCUMMING, GA, 300417659Browse GA providers · Browse ZIP 30041
- Phone
- 7708443295
- Fax
- 4042507330
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CUMMING, GA
| Name | Credential | NPI |
|---|---|---|
| JASON DAVID GRABROVAC | PA-C | 1023000528 |
| DEBORAH E WHITEHAIR | PA | 1467435008 |
| MARIANN SIMPSON | P.A. | 1245213883 |
| STEVEN P HORNE | P.A. | 1154305647 |
| WALLACE EDWIN WILSON | PA-C | 1841279411 |
| JEANNE L. KOPACKA | PA | 1437124385 |
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.