| Pacific Physician Services, Llc | |
|
101 Asbury Cirlce Hattiesburg MS 39402 | |
| (601) 268-5200 | |
| Not Available |
| Full Name | Pacific Physician Services, Llc |
|---|---|
| Speciality | General Practice |
| Location | 101 Asbury Cirlce, Hattiesburg, Mississippi |
| Authorized Official Name and Position | V Karen Flinn (VP) |
| Authorized Official Contact | 3615790315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Physician Services, Llc 101 Asbury Cirlce Hattiesburg MS 39402 Ph: (601) 268-5200 | Pacific Physician Services, Llc 101 Asbury Cirlce Hattiesburg MS 39402 Ph: (601) 268-5200 |
| NPI Number | 1285653386 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285653386 | NPI | - | NPPES |
| 00724395 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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