Individual provider · Type 1 NPI

Minjae Park

Student in an Organized Health Care Education/Training Program · Fort Gordon, GA

NPI number 1649036104 Active

Practice location

300 East Hospital Road
Fort Gordon, GA 30905-5650

Call (706) 787-2090 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649036104

Minjae Park's National Provider Identifier is 1649036104, issued on Feb 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Gordon, GA. The record was last updated on Feb 22, 2024.