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Contact Information

HANNAH PARK, MD
2500 HOSPITAL BLVD STE 115
ROSWELL, GA30076-4946
 Phone: 770-475-0123
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for HANNAH PARK · (Female)

NPI # 1548657430
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2015
Last updated 08/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 82392
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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