Organization · Type 2 NPI
Pacific Physician Services LLC
General Practice Physician · Petal, MS
NPI number
1902861651
Active
Practice location
425 Highway 42
Petal, MS 39465-2891
Mailing address
4000 Meridian Blvd
Franklin, TN 37067-6325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1902861651
Pacific Physician Services LLC's National Provider Identifier is 1902861651, issued on Apr 18, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Petal, MS. The record was last updated on Mar 27, 2012.