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Cecilia Park, FNP
Family Nurse Practitioner in Duluth, Georgia
NPI 1992041859

Cecilia Park is a Family Nurse Practitioner based in Lawrenceville, GA and is specialized in Family. Cecilia Park practices in Duluth, GA and has the professional credentials of FNP. The NPI Number for Cecilia Park is 1992041859 and holds a License No. CHIR008961 (Georgia).

The current practice location address for Cecilia Park is 3636 Satellite Blvd, Duluth, GA and can be reached out via phone at 470-336-9635. You can also correspond with Cecilia Park through the mailing address at 2366 HARSHAW AVE, LAWRENCEVILLE, GA - 30043-8209 (mailing address contact number: 470-336-9635).

Location: 3636 Satellite Blvd, Duluth, GA, 30043-8209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992041859
Provider Name
Cecilia Park
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3636 Satellite Blvd, Duluth, GA, 30043-8209
Phone Number
470-336-9635
Fax Number
Provider Enumeration Date
12/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3636 Satellite Blvd
City
Duluth
State
Georgia
Zip
30096-4590
Phone Number
470-336-9635
Fax Number
person
Provider Business Mailing Address Details
Address
2366 Harshaw Ave
City
Lawrenceville
State
Georgia
Zip
30043-8209
Phone Number
470-336-9635
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
RN240365 (Georgia)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
CHIR008961 (Georgia)
Definition
Definition to come...
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