Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MINJAE PARK
ActiveMINJAE PARK is a Student (Health Education/Training) healthcare provider located in FORT GORDON, Georgia. NPI 1649036104 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · FORT GORDON, GA
Registration Details
- NPI Number
- 1649036104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2024 (2.4829008931591 yrs)
- Last Updated
- Feb 22, 2024
Practice Information
- Address
-
300 EAST HOSPITAL ROADFORT GORDON, GA, 309055650Browse GA providers · Browse ZIP 30905
- Phone
- 7067872090
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in FORT GORDON, GA
| Name | Credential | NPI |
|---|---|---|
| TAWA SEABROOK | — | 1194980276 |
| ROLAND LEE PECKHAM JR. | — | 1104146224 |
| MS. KIMBERLY ANN HANRAHAN-HAVERN | M.A., ATR-BC | 1104254614 |
| DR. RYAN M SLATTERY | D.O | 1720531023 |
| SENTHIL MUDALIAR | MD | 1588187322 |
| RHIANNA FLOHR | — | 1033632674 |
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.