IndividualActive
Jae Pak, M.D.
NPI 1740280551 · Geriatric Psychiatry Physician · Snellville, GA
Provider details
- NPI number
- 1740280551
- Entity type
- Individual
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 040185 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2160 Fountain Dr
Suite 200
Snellville, GA 30078-7022
Phone: (770) 982-1111
Fax: (770) 982-7280
Approximate (ZIP-level) locationGet directions
Mailing address
2160 Fountain Dr
Snellville, GA 30078-7022
Registry dates
- Enumerated
- 2005-07-22
- Last updated
- 2016-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.