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

Dr. Jae Young Park, ACUPUNCTURIST

Individual provider Acupuncturist · NPI 1023199924

Dr. Jae Young Park, ACUPUNCTURIST is an Acupuncturist in Fort Gordon, Georgia. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

300 W Hospital Rd Bldg 3006TH Interdisciplinary Pain Management Center
Fort Gordon, GA 30905-5741
Phone: (706) 787-0716
Fax: (706) 787-0196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 11226 (CA)

Record details

NPI number1023199924
Entity typeIndividual (Type 1)
GenderMale
Credentials ACUPUNCTURIST
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 28, 2015