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Organization
CHRIS PARK DO PC
Active
Organization
CHRIS PARK DO PC
Active
Other names
Park Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER PARK DO (OWNER/PHYSICIAN)
(662) 397-4597
Entity
Organization
Contact information
Practice address
47 S MAIN ST, PONTOTOC, MS 38863-2823
(662) 499-2802
Mailing address
PO BOX 507, PONTOTOC, MS 38863-0507
(662) 308-7045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2020
Last updated
02/18/2024
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