person
Michelle Caroline Park, MD
Student in an Organized Health Care Education/Training Program in Atlanta, Georgia
NPI 1871173419

Michelle Caroline Park is a Student in an Organized Health Care Education/Training Program based in Atlanta, GA. Michelle Caroline Park practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Michelle Caroline Park is 1871173419 and holds a License No. (Georgia).

The current practice location address for Michelle Caroline Park is 1364 Clifton Rd Ne, Atlanta, GA and can be reached out via phone at 360-798-1305.

Location: 1364 Clifton Rd Ne, Atlanta, GA, 30322-1059
person
Provider Profile Details
NPI Number
1871173419
Provider Name
Michelle Caroline Park
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1364 Clifton Rd Ne, Atlanta, GA, 30322-1059
Phone Number
360-798-1305
Fax Number
Provider Enumeration Date
04/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1364 Clifton Rd Ne
City
State
Zip
30322-1059
Phone Number
360-798-1305
Fax Number
person
Provider Business Mailing Address Details
Address
1364 Clifton Rd Ne
City
State
Zip
30322-1059
Phone Number
360-798-1305
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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