Provider Information for 1093468670
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Dr. JOSEPH CHUNMIN PAK
Sex: Male
NPI: 1093468670
Last Updated: 2025-01-07
Certification Date: 2025-01-07
Certification Date: 2025-01-07
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1093468670 | ||||||||||||
| Enumeration Date | 2022-02-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2326 KAYLEN DR ATLANTA, GA 30341-1363 United States Phone: 678-926-8633 | Fax: | ||||||||||||
| Primary Practice Address | 1435 HAW CREEK CIR STE 403 CUMMING, GA 30041-6567 United States Phone: 770-940-9679 | Fax: | ||||||||||||
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