| Pace Medical Clinic, Llc | |
|
406 South Front Street Richton MS 39476 | |
| (601) 788-6381 | |
| (601) 788-9716 |
| Full Name | Pace Medical Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 406 South Front Street, Richton, Mississippi |
| Authorized Official Name and Position | James Michael Pace (MANAGER) |
| Authorized Official Contact | 6017886381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pace Medical Clinic, Llc Po Box 850 Richton MS 39476-0850 Ph: (601) 788-6381 | Pace Medical Clinic, Llc 406 South Front Street Richton MS 39476 Ph: (601) 788-6381 |
| NPI Number | 1679615306 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679615306 | NPI | - | NPPES |
| 01629346 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15454 (Mississippi) | Primary |
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