| Pacific Physician Services Llc | |
|
425 Highway 42 Petal MS 39465-2891 | |
| (601) 584-4890 | |
| Not Available |
| Full Name | Pacific Physician Services Llc |
|---|---|
| Speciality | General Practice |
| Location | 425 Highway 42, Petal, Mississippi |
| Authorized Official Name and Position | Debbie T Brewer (DIRECTOR) |
| Authorized Official Contact | 6154657626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Physician Services Llc 4000 Meridian Blvd Franklin TN 37067-6325 Ph: (615) 465-7626 | Pacific Physician Services Llc 425 Highway 42 Petal MS 39465-2891 Ph: (601) 584-4890 |
| NPI Number | 1902861651 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902861651 | NPI | - | NPPES |
| 09016137 | Medicaid | MS | |
| 09270509 | Medicaid | MS | |
| 09016291 | Medicaid | MS | |
| 05781336 | Medicaid | MS | |
| 09016153 | Medicaid | MS | |
| 01302267 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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