Individual provider · Type 1 NPI

Christopher Lane Park, DO

Family Medicine Physician · Pontotoc, MS

NPI number 1710181078 Active

Practice location

47 S Main St
Pontotoc, MS 38863-2823

Call (662) 499-2802 Map

Fax (866) 939-1560

Mailing address

PO Box 507
Pontotoc, MS 38863-0507

Other practice locations

  • 1 Cvs Dr, Woonsocket, RI 02895-6146 · (866) 389-2727

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X19482 (MS)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1710181078

Christopher Lane Park, DO's National Provider Identifier is 1710181078, issued on Jun 12, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pontotoc, MS. The record was last updated on May 5, 2026.