Myoung S Park, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008420 Issued in GA

Practice address

2550 Pleasant Hill Rd Ste 124
Duluth, GA 30096-9278

Phone

(770) 814-7400

Fax

(770) 814-7442

NPI assigned

Jan 4, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Line Chiropractic Inc

  • Chiropractor
  • Duluth, GA
  • NPI 1750652251
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1831429489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 PLEASANT HILL RD STE 124",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300969278",
            "telephone_number": "770-814-7400",
            "fax_number": "770-814-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 PLEASANT HILL RD STE 124",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300969278",
            "telephone_number": "770-814-7400",
            "fax_number": "770-814-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MYOUNG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyung J Park, DC
• Irene Park, PHARMD
• Jae Min Park, DC
• Jeeyeoun Park, D.M.D.
• Ji Eun Park
• Nanyoung Park, ANP-BC
• Sarang Park
• Shinkweon Park, L.AC
• Woojin Park, L.AC
• Parks Acupuncture & Herbs LLC

• Chiropractor in Duluth, GA
• Providers in Duluth, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.