Organization
TC MEDICAL OF NEW ALBANY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LANE PARK DO (PRESIDENT)
(662) 397-4597
Entity
Organization
Contact information
Practice address
101 CUNNINGHAM DR, RIPLEY, MS 38663-1302
(662) 837-3011
(662) 837-0230
Mailing address
542 CEDAR HILL DR, PONTOTOC, MS 38863-7262
(662) 397-4597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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