person
Mr. Jung Tae Park, MD
Adult Medicine Physician in Whitwell, Tennessee
NPI 1942291638

Jung Tae Park is an Adult Medicine Physician based in Whitwell, TN and is specialized in Adult Medicine. Jung Tae Park practices in Whitwell, TN and has the professional credentials of MD. The NPI Number for Jung Tae Park is 1942291638 and holds a License No. MD0000010100 (Tennessee).

The current practice location address for Jung Tae Park is 13851 Highway 28, Whitwell, TN and can be reached out via phone at 423-658-9200 and via fax at 423-658-2195.

Location: 13851 Highway 28, Whitwell, TN, 37397-0400
person
Provider Profile Details
NPI Number
1942291638
Provider Name
Jung Tae Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13851 Highway 28, Whitwell, TN, 37397-0400
Phone Number
423-658-9200
Fax Number
423-658-2195
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2002139 01 TN B CARE
institution
Provider Business Practice Location Address Details
Address
13851 Highway 28
City
State
Zip
37397-5373
Phone Number
423-658-9200
Fax Number
423-658-2195
person
Provider Business Mailing Address Details
Address
13851 Highway 28
City
State
Zip
37397-5373
Phone Number
423-658-9200
Fax Number
423-658-2195
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
MD0000010100 (Tennessee)
Definition
Definition to come.
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