Whitwell Medical Plaza
NPI #1225409147 in Whitwell, Tennessee
Provider Information
- NPI Number
- 1225409147
- Entity Type
- Organization
- Organization Name
- Whitwell Medical Plaza
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 19, 2015
- Last Updated
- Nov 1, 2017
Practice Location
Authorized Official
- Name
- JUNG TAE PARK, M.D.
- Title
- MD-OWNER
- Phone
- (423) 658-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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