Park, Cecilia
Park, Cecilia is an sole proprietor health care provider with primary practice located at 3636 Satellite Blvd #4A, Duluth GA 30096-4590. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Park, Cecilia can be contacted via phone (470) 336-9635.Contact Information
Primary practice address
3636 Satellite Blvd #4A
Duluth GA 30096-4590
Phone: (470) 336-9635
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIR008961 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN240365 | Georgia |
Profile Details
| NPI number | 1992041859 |
|---|---|
| LBN Legal business name | Park, Cecilia |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2012 |
| Last updated | Feb 13th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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