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JIYOUN LEAH PARK PA
NPI 1497146351
Physician Assistant - Medical in Tucker, GA

Active since February 13, 2015
1468 MONTREAL RD, TUCKER, GA 30084(770) 638-1400 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jiyoun Leah Park Pa NPPES

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

JIYOUN LEAH PARK PA (NPI 1497146351) is an individual medical provider in Tucker, Georgia and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1497146351
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJIYOUN LEAH PARKCredential: PA
Location Address1468 MONTREAL RDTucker, GA 30084-6901
Mailing Address1468 Montreal RdTucker, GA 30084-6901 · (770) 638-1400
Phone(770) 638-1400
Sole ProprietorNo
Enumeration DateFebruary 13, 2015
Last NPPES UpdateJuly 15, 2015
✔ NPI 1497146351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1468 MONTREAL RD, Tucker, GA 30084
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Other Providers at the Same Location NPPES 20

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

DR. SETH CHRISTIAN FAKESS D.O.
Internal Medicine (Cardiovascular Disease)
1468 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 638-1400
JAWAHAR REDDY GAZZALA M.D.
Internal Medicine (Cardiovascular Disease)
1468 MONTREAL RD
TUCKER, GA 30084
Dekalb County (470) 273-6263
SOLINA JINJU CHIANG NP
Nurse Practitioner (Family)
1468 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 638-1400
HARRIETT LASCHELL ALLEN
Nurse Practitioner
1468 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 638-1400
SORABH KOTHARI MD
Internal Medicine (Cardiovascular Disease)
1468 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 638-1400
ZAKARIA MOHD WAHBI ALMUWAQQAT M.D
Internal Medicine (Interventional Cardiology)
1468 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 638-1400
GINA ANN VARCO MSN, APRN, AGACNP-BC
Nurse Practitioner
1468 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 638-1400
DR. BAKHTIAR ALI M.D.
Internal Medicine (Interventional Cardiology)
1468 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 638-1400

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 Jiyoun Park's NPI number?

The NPI number for Jiyoun Park is 1497146351. It was assigned to this individual provider in the NPPES registry on February 13, 2015.

Where is Jiyoun Park located?

Jiyoun Park practices at 1468 Montreal Rd, Tucker, GA 30084. The listed phone number is (770) 638-1400.

What is Jiyoun Park's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jiyoun Park was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.