Park, Michelle Jungae
Park, Michelle Jungae is an individual health care provider with primary practice located at 175 N Broad St , Winder GA 30680-2153. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Park, Michelle Jungae can be contacted via phone (770) 868-1144.Contact Information
Primary practice address
175 N Broad St
Winder GA 30680-2153
Phone: (770) 868-1144
Fax: (770) 868-1276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 271767 | Georgia |
Profile Details
| NPI number | 1558925743 |
|---|---|
| LBN Legal business name | Park, Michelle Jungae |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2019 |
| Last updated | May 17th, 2022 - about 2 years ago |
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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