Jae Young Park ACUPUNCTURIST

NPI 1023199924 - Acupuncturist - 171100000X

NPI Details
NPI 1023199924
Gender Male
Enumeration Date 10/18/2006
Last Updated 07/28/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
300 W HOSPITAL RD BLDG 3006TH
INTERDISCIPLINARY PAIN MANAGEMENT CENTER
FORT GORDON GA, 30905-5741, US
Phone (706) 787-0716
Fax (706) 787-0196
Business Location
300 HOSPITAL RD
INTERDISCIPLINARY PAIN MANAGEMENT CENTER
FORT GORDON GA, 30905-5741, US
Phone (706) 787-8322
Fax (706) 787-0196
Toxanomy
Taxonomy Code 171100000X
License State California
License Number 11226
Remove 1023199924 NPI Number
 

According to our database, Dr. Jae Young Park ACUPUNCTURIST NPI is 1023199924, taxonomy code is 171100000X and license number is 11226, license state is located at California. Jae Young Park ACUPUNCTURIST physically located at 300 W Hospital Rd Bldg 3006th, Fort Gordon GA, 30905-5741. NPI Number Jae Young Park ACUPUNCTURIST has the Individual type.

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1023199924 NPI number is provided on an as is basis without warranty of any kind. 1023199924 is maintained by the National Plan & Provider Enumeration System. The contents of Jae Young Park ACUPUNCTURIST are for informational purposes only.