| Park Psychiatry, Pllc | |
|
1020 Southhill Dr Ste 320 Cary NC 27513-8629 | |
| (919) 213-8758 | |
| Not Available |
| Full Name | Park Psychiatry, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1020 Southhill Dr Ste 320, Cary, North Carolina |
| Authorized Official Name and Position | Eliza Myung Park (MANAGER/EMPLOYEE) |
| Authorized Official Contact | 6177211271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Psychiatry, Pllc 459 S Greensboro St Carrboro NC 27510-2354 Ph: (617) 721-1271 | Park Psychiatry, Pllc 1020 Southhill Dr Ste 320 Cary NC 27513-8629 Ph: (919) 213-8758 |
| NPI Number | 1760171508 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/06/2023 |
| Medicare PECOS PAC ID | 0749647840 |
|---|---|
| Medicare Enrollment ID | O20230606000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760171508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Eliza M Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669544607 PECOS PAC ID: 2365504727 Enrollment ID: I20111017000471 |
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