NPI 1023199924

Jae Young Park, ACUPUNCTURIST

Practitioner Acupuncturist Fort Gordon, GA

Practice location

Address: 300 W Hospital Rd Bldg 3006th Interdisciplinary Pain Management Center, Fort Gordon, GA 30905-5741
Phone: (706) 787-0716
Fax: (706) 787-0196
Mailing address: 300 Hospital Rd Interdisciplinary Pain Management Center, Fort Gordon, GA 30905-5741

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 11226 (CA)

Other Acupuncturist providers in Georgia →

Registry record

NPI: 1023199924
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Oct 2006
Record last updated: 28 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.