Park, Michelle
Park, Michelle is an individual health care provider with primary practice located at 310 Kennestone Hospital Blvd , Marietta GA 30060-1120. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Park, Michelle can be contacted via phone (770) 793-7899.Contact Information
Primary practice address
310 Kennestone Hospital Blvd
Marietta GA 30060-1120
Phone: (770) 793-7899
Fax: (770) 793-7856
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 88910 | Georgia |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 88910 | Georgia |
Profile Details
NPI number | 1811428667 |
---|---|
LBN Legal business name | Park, Michelle |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2017 |
Last updated | Sep 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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