Individual provider · Type 1 NPI

Soomi Park, PA-C

Physician Assistant · Cumming, GA

NPI number 1184358566 Active

Practice location

1200 Northside Forsyth Dr
Cumming, GA 30041-7659

Call (770) 844-3295 Map

Fax (404) 250-7330

Other practice locations

  • 3525 Olentangy River Rd Ste 4330, Columbus, OH 43214-3937 · (614) 255-6900

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X50.007530RX (OH)
Physician Assistant Primary 363A00000X12815 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1184358566

Soomi Park, PA-C's National Provider Identifier is 1184358566, issued on Jul 12, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cumming, GA. The record was last updated on Jan 10, 2025.