Heather Pennell Park, MD
Heather Pennell Park, MD is a Vascular Surgery in Carrollton, Georgia. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2012, 14 years ago. Practices with Tanner Medical Group Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 14
- Trained at
- University of North Carolina at Chapel Hill School of Medicine
- Licensed in
- GA
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
157 Clinic Ave Ste 302Carrollton, GA 30117-4454
Phone: (770) 812-5902
Fax: (770) 812-5903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X · Licence 67715 (GA) |
|---|
Record details
| NPI number | 1851510119 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 25, 2007 |
| Last updated in NPPES | March 14, 2016 |
Medicare enrollment
| Medicare specialty | VASCULAR SURGERY |
|---|---|
| Medical school | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduated | 2012 (14 years in practice) |
| Group practice | Tanner Medical Group Inc — 120 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Carrollton
-
Dr. Thomas Ellis Reeve IV, MD
157 Clinic Ave Ste 302, Carrollton, GA 30117 · (770) 812-5902
-
Edwin Glenn Whitney, MD
157 Clinic Ave Ste 302, Carrollton, GA 30117-4454 · (770) 812-5902