Individual provider · Type 1 NPI

Peter Ju Park, MD

Vascular & Interventional Radiology Physician · Atlanta, GA

NPI number 1699015792 Active

Practice location

100 Woodruff Cir NE, Suite 327
Atlanta, GA 30322-0001

Mailing address

1364 Clifton Nerd D125A
Atlanta, GA 30322-1059

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X007281 (GA)
Vascular & Interventional Radiology Physician Primary 2085R0204X007281 (GA)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1699015792

Peter Ju Park, MD's National Provider Identifier is 1699015792, issued on Feb 26, 2013. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Atlanta, GA. The record was last updated on Nov 5, 2018.