| NPI | 1912284480 |
|---|---|
| Other Name | CENTRAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KUY IK PARK CEO 678-467-9882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 171100000X Acupuncturist |
| 207Q00000X Family Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |