Individual provider · Type 1 NPI

Michael Park

Medical Physician Assistant · Pinehurst, NC

NPI number 1790724904 Active

Practice location

30 Memorial Dr, Suite 3950
Pinehurst, NC 28374-8707

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X103478 (NC)

Medical Physician Assistant: Definition to come...

21 other providers at this address

Other medical physician assistant providers in Pinehurst

See all in Pinehurst →

About NPI 1790724904

Michael Park's National Provider Identifier is 1790724904, issued on Jun 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pinehurst, NC. The record was last updated on Aug 25, 2026.