Dr. Jae H Pak, M.D.
in Snellville, GA. Individual provider (NPI-1).
NPI number1740280551
StatusActive
Last updated in NPPESJun 3, 2016
Details
- NPI
- 1740280551
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jae H Pak
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2005
- Last updated
- Jun 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0805X | 040185 | GA | Yes |
Practice location
2160 Fountain DrSuite 200
Snellville, GA 30078-7022
Phone 770-982-1111 · Fax 770-982-7280
Mailing address
2160 Fountain DrSuite 200
Snellville, GA 30078-7022
Phone 770-982-1111 · Fax 770-982-7280
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