HEATHER PENNELL PARK

CARROLLTON, GA
NPI1851510119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0129X Surgery, Vascular Surgery
(Licence: GA  67715)
Enumeration Date2007-04-25
Last Update Date2016-03-14
Business Address
-- HEATHER PENNELL PARK M.D.
157 CLINIC AVE SUITE 302
CARROLLTON, GA 30117-4454
Phone number: 770-812-5902
Mailing Address
-- HEATHER PENNELL PARK M.D.
119 AMBULANCE DR SUITE 202
CARROLLTON, GA 30117-3857
Phone number: 770-838-8710