Dr. Jeanie Park
Nephrologist
550 Peachtree St Ne Mot 8th Floor
Atlanta
, Georgia 30308-2208
Dr. Jeanie Park
Nephrologist
550 Peachtree St Ne Mot 8th Floor
Atlanta
, Georgia 30308-2208
(404) 235-3049
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Jeanie Park
- 1670 Clairmont Rd Renal/nephrology And Hemodialysis Med (111)
- Decatur, GA
- Zip : 30033-4004
- Fax : (404) 235-3049
- Phone : (404) 321-6111
Second Address
- Dr. Jeanie Park
- 550 Peachtree St Ne Mot 8th Floor
- Atlanta, GA
- Zip : 30308-2208
- Fax : (404) 686-4995
- Phone : (404) 686-5038
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 061137 | GA |
National Provider Identifier
| NPI | 1043409048 |
|---|---|
| Provider Name | Dr. Jeanie Park |
| First Address | Decatur, GA 30033-4004 |
| Second Address | Atlanta, GA 30308-2208 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2007 |
| Last Update Date | 17/05/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.