| NPI | 1831710623 |
|---|---|
| Doing Business As | PARK MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PARK Owner/Physician 662-397-4597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-05-03 |
| Last Update Date | 2024-02-18 |