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

Mr. Jong Bume Park, LAC

Individual provider Acupuncturist · NPI 1922489707

Mr. Jong Bume Park, LAC is an Acupuncturist in Marietta, Georgia. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2015
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

55 Highoak Dr NE
Marietta, GA 30066-4929
Phone: (770) 756-6075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5150 Stilesboro Rd Nw Ste 400, Kennesaw, GA 30152-7759 — (770) 756-6075

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 5599 (NY)

Record details

NPI number1922489707
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorNo
NPI enumeratedJune 17, 2015
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

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