Ih Koo Park, MD - Surgery in Ft Oglethorpe, GA

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Ih Koo Park, MD is a Surgery physician based in Ft Oglethorpe, Georgia. Ih Koo Park is licensed to practice in Georgia (license number 15885) and his current practice location is 100 Gross Crescent Cir, Ft Oglethorpe, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 861-7275.

NPI number for Ih Koo Park is 1902806227 and his current mailing address is 100 Gross Crescent Cir, Ft Oglethorpe, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902806227.

Contact Information

Ih Koo Park, MD
100 Gross Crescent Cir,
Ft Oglethorpe, GA 30742-3643
(706) 861-7275
Not Available

Map and Direction




Physician's Profile

Full NameIh Koo Park
GenderMale
SpecialitySurgery
Location100 Gross Crescent Cir, Ft Oglethorpe, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902806227
  • Provider Enumeration Date: 07/28/2005
  • Last Update Date: 09/28/2012

Medical Identifiers

Medical identifiers for Ih Koo Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902806227NPI-NPPES
00062059BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 15885 (Georgia)Primary
208600000XSurgery 8922 (Tennessee)Secondary

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. Ih Koo 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
Ih Koo Park, MD
100 Gross Crescent Cir,
Ft Oglethorpe, GA 30742-3643

Ph: (706) 861-7275		Ih Koo Park, MD
100 Gross Crescent Cir,
Ft Oglethorpe, GA 30742-3643

Ph: (706) 861-7275

Reviews and Comments


Surgery Doctors in Ft Oglethorpe, GA


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