Jae Pak PC
in Snellville, GA. Organization (NPI-2).
NPI number1184706996
StatusActive
Last updated in NPPESMay 7, 2025
Details
- NPI
- 1184706996
- Entity type
- Organization (NPI-2)
- Legal business name
- Jae Pak PC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2006
- Certification date
- May 7, 2025
- Last updated
- May 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0805X | 040185 | GA | Yes |
Other names
- Healthcare For Seniors (Doing Business As)
Practice location
2160 Fountain Drive200
Snellville, GA 30078-6783
Phone 770-982-1111 · Fax 770-982-7280
Mailing address
2160 Fountain Drive200
Snellville, GA 30078-6783
Phone 770-982-1111 · Fax 770-982-7280
Authorized official
Jae H Pak
Owner Physician
7709821111
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