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

Ih Koo Park, MD

Individual provider Surgery Physician · NPI 1902806227

Ih Koo Park, MD is a Surgery Physician in Ft Oglethorpe, Georgia. Licensed in Georgia and Tennessee. Registered with an NPI since 2005.

Licensed in
GA, TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742-3643
Phone: (706) 861-7275
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 15885 (GA)
Surgery Physician Taxonomy 208600000X · Licence 8922 (TN)

Record details

NPI number1902806227
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESSeptember 28, 2012
Mailing address100 Gross Crescent Cir, Ft Oglethorpe, GA 30742-3643