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DR. JAE K PARK M.D.
NPI 1437365814
Obstetrics & Gynecology - Gynecology in Norcross, GA

Active since May 15, 2007
6185 BUFORD HWY, SUITE B-104, NORCROSS, GA 30071(770) 416-0099(770) 416-0022 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jae K Park M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAE K PARK M.D. (NPI 1437365814) is an individual gynecology provider in Norcross, Georgia, licensed in Georgia (030177) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1437365814
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. JAE K PARKCredential: M.D.
Location Address6185 BUFORD HWY, SUITE B-104Norcross, GA 30071-2350
Mailing Address6185 Buford Hwy, Suite B-104Norcross, GA 30071-2350 · (770) 416-0099 · Fax (770) 416-0022
Phone(770) 416-0099
Fax(770) 416-0022
Sole ProprietorYes
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437365814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in GA · 030177
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
6185 BUFORD HWY, Norcross, GA 30071
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HYUNSU SHIN
Social Worker (Clinical)
6185 BUFORD HWY, BUILDING G
PEACHTREE CORNERS, GA 30071
Gwinnett County (770) 446-0929
DR. NISMAH SYEDA SARMAST DDS
Dentist
6185 BUFORD HWY, BLDG. G
PEACHTREE CORNERS, GA 30071
Gwinnett County (770) 446-0929
DR. RICHARD NEAL GOODROE D.D.S.
Dentist (General Practice)
6185 BUFORD HWY, BUILDING B-102
NORCROSS, GA 30071
Gwinnett County (770) 448-8385
DR. AMITHA SAMPATH MD
Pediatrics
6185 BUFORD HWY, BUILDING G
NORCROSS, GA 30071
Gwinnett County (770) 446-0929
COSMO HEALTH CARE
Internal Medicine
6185 BUFORD HWY, BUILDING G
NORCROSS, GA 30071
Gwinnett County (770) 446-0929
DR. HEMAN B DODANI M.D.
Family Medicine
6185 BUFORD HWY, SUITE E-400
NORCROSS, GA 30071
Gwinnett County (678) 421-9700
DR. SOOIL KIM M.D.
Internal Medicine
6185 BUFORD HWY, BLDG G
PEACHTREE CORNERS, GA 30071
Gwinnett County (770) 446-0929

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Park's NPI number?

The NPI number for Jae Park is 1437365814. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Jae Park located?

Jae Park practices at 6185 Buford Hwy Suite B-104, Norcross, GA 30071. The listed phone number is (770) 416-0099.

What is Jae Park's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Jae Park was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.