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Contact Information

SHINKWEON PARK, L.AC
3705 OLD NORCROSS RD
STE 400
DULUTH, GA30096-4335
 Phone: 770-696-7460
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for SHINKWEON PARK · (Male)

NPI Number 1013067131
Status Active
Credentials L.AC
Entity Individual
Enumeration date 01/11/2007
Last updated 05/17/2012 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # AC7613
  • GA License # 236
Hospital affiliation(s) Not Available
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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