Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ih Koo Park, MD

Individual provider Surgery Physician · NPI 1902806227

Ih Koo Park, MD is a Surgery Physician in Ft Oglethorpe, Georgia. Licensed in Georgia and Tennessee. Registered with an NPI since 2005.

Licensed in
GA, TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742-3643
Phone: (706) 861-7275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 15885 (GA)
Surgery Physician Taxonomy 208600000X · Licence 8922 (TN)

Record details

NPI number1902806227
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESSeptember 28, 2012