Individual provider · Type 1 NPI

Grace Park, MD

Pediatrics Physician · Suwanee, GA

NPI number 1407410004 Active

Practice location

6918 Mcginnis Ferry Rd Ste 200
Suwanee, GA 30024-1258

Fax (770) 622-5717

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatrics Physician 208000000X202200704 (NC)
Pediatrics Physician Primary 208000000X110886 (GA)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1407410004

Grace Park, MD's National Provider Identifier is 1407410004, issued on Apr 29, 2019. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Suwanee, GA. The record was last updated on Aug 19, 2026.