Mr. Jung Tae Park, MD
Mr. Jung Tae Park, MD is a General Practice in Whitwell, Tennessee. Qualified in 1966, 60 years ago. Practices with Park Medical, a 5-clinician group. Licensed in Tennessee.
- Years since qualifying
- 60
- Licensed in
- TN
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
13851 Highway 28Whitwell, TN 37397-5373
Phone: (423) 658-9200
Fax: (423) 658-2195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X · Licence MD0000010100 (TN) |
|---|
Record details
| NPI number | 1942291638 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | November 2, 2005 |
| Last updated in NPPES | December 14, 2022 |
| Certification date | December 14, 2022 |
Medicare enrollment
| Medicare specialty | GENERAL PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1966 (60 years in practice) |
| Group practice | Park Medical — 5 clinicians |
| Accepts Medicare assignment | Not indicated |