Soomi Park, PA-C

NPI #1184358566 in Cumming, Georgia

Provider Information

NPI Number: 1184358566
Entity Type: Individual
Name: Soomi Park, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 12, 2022
Last Updated: Jan 10, 2025

Practice Location

Address: 1200 NORTHSIDE FORSYTH DR
City: Cumming
State: Georgia
ZIP Code: 30041-7659
Phone: (770) 844-3295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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