Ms Susie S Park, MS, RD, LD - Dietitian in Atlanta, GA

Ms Susie S Park, MS, RD, LD is a Dietitian, Registered based in Atlanta, Georgia. Ms Susie S Park is licensed to practice in Georgia (license number LD003680) and her current practice location is 5238 Peachtree Rd, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 455-7602.

NPI number for Ms Susie S Park is 1114219136 and her current mailing address is 5238 Peachtree Rd, Atlanta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114219136.

Contact Information

Ms Susie S Park, MS, RD, LD
5238 Peachtree Rd,
Atlanta, GA 30341-2718
(770) 455-7602
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Susie S Park
GenderFemale
SpecialityDietitian, Registered
Location5238 Peachtree Rd, Atlanta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114219136
  • Provider Enumeration Date: 05/10/2011
  • Last Update Date: 05/10/2011

Medical Identifiers

Medical identifiers for Ms Susie S Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114219136NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered LD003680 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Susie S Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Susie S Park, MS, RD, LD
5238 Peachtree Rd,
Atlanta, GA 30341-2718

Ph: () -
Ms Susie S Park, MS, RD, LD
5238 Peachtree Rd,
Atlanta, GA 30341-2718

Ph: (770) 455-7602

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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