RIVER PARC INTERNAL MEDICINE NPI 1912366931

NPI Information

  • NPI: 1912366931
  • Provider Name: RIVER PARC INTERNAL MEDICINE
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 11D1050147
  • Address: 4855 RIVER GREEN PKWY STE 140
    DULUTH, GA
    ZIP 30096
  • Phone: (678) 417-0077

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NPI Details

RIVER PARC INTERNAL MEDICINE is a clinic center in Duluth, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RIVER PARC INTERNAL MEDICINE NPI is 1912366931. The provider is registered as an organization entity type.

The provider's business location address is:

4855 RIVER GREEN PKWY STE 140
DULUTH, GA
ZIP 30096-333
Phone: (678) 417-0077
Fax: (678) 417-0337

The provider's authorized official is Young Kang .
The authorized official title is Md and has the following contact phone number (678) 417-0077.

The CLIA number assigned to this NPI record is 11D1050147 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2016 and was last updated on 2/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterRN193179GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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