Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David William Park, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730997529

David William Park, MD is a Student in an Organized Health Care Education/Training Program in Gainesville, Georgia. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

743 Spring St NE
Gainesville, GA 30501-3715
Phone: (770) 219-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1550 College St, Macon, GA 31207-1500 — (478) 301-2600

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1730997529
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 25, 2024
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address1550 College St, Macon, GA 31207-1500

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