Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER PENNELL PARK, M.D.
ActiveHEATHER PENNELL PARK, M.D. is a Vascular Surgery healthcare provider located in CARROLLTON, Georgia. NPI 1851510119 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · CARROLLTON, GA
Registration Details
- NPI Number
- 1851510119
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2007 (19.326790463879 yrs)
- Last Updated
- Mar 14, 2016
- License
-
67715 (GA)
Practice Information
- Address
-
157 CLINIC AVESUITE 302CARROLLTON, GA, 301174454Browse GA providers · Browse ZIP 30117
- Phone
- 7708125902
- Fax
- 7708125903
- Primary Specialty
-
Vascular Surgery
2086S0129X
Other Vascular Surgery Providers in CARROLLTON, GA
| Name | Credential | NPI |
|---|---|---|
| EDWIN GLENN WHITNEY | MD | 1992860985 |
| DR. THOMAS ELLIS REEVE IV | M.D. | 1992940217 |
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.