Individual provider · Type 1 NPI
Ji Yeon Pak
Body Imaging Physician · Sandy Springs, GA
NPI number
1699394593
Active
Practice location
20 Glenlake Pkwy
Sandy Springs, GA 30328-3473
Mailing address
925 Seneca St Mail Sop: H8-GME
Seattle, WA 98101
Other practice locations
- 925 Seneca St, Seattle, WA 98101-2742 · (206) 583-6079
- 75 Francis St, Boston, MA 02115-6110 · (617) 732-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | 113531 (GA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
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About NPI 1699394593
Ji Yeon Pak's National Provider Identifier is 1699394593, issued on Apr 10, 2020. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Sandy Springs, GA. The record was last updated on Jul 20, 2026.