Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAE K PARK, M.D.
Active Sole ProprietorDR. JAE K PARK, M.D. is a Gynecology healthcare provider located in NORCROSS, Georgia. NPI 1437365814 is currently active in the NPPES registry. Verify at CMS.
Gynecology · NORCROSS, GA
Registration Details
- NPI Number
- 1437365814
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2007 (19.283262319519 yrs)
- Last Updated
- Jul 8, 2007
- License
-
030177 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6185 BUFORD HWYSUITE B-104NORCROSS, GA, 300712350Browse GA providers · Browse ZIP 30071
- Phone
- 7704160099
- Fax
- 7704160022
- Primary Specialty
-
Gynecology
207VG0400X
Other Gynecology Providers in NORCROSS, GA
| Name | Credential | NPI |
|---|---|---|
| DR. NICHOLAS KONGOASA | MD, FACOG | 1376895946 |
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.