Whalio Doctors

NPI 1114546629

Hana Park

Practitioner Emergency Medicine Physician Fayetteville, GA

Practice location

Address
1255 Highway 54 W, Fayetteville, GA 30214-4526
Phone
(770) 719-7000
Mailing address
677 Church St NE, Marietta, GA 30060-1101

Registered specialties (2)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence OS022985 (PA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1114546629
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Apr 2020
Record last updated
26 Dec 2025

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.