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Organization
PACIFIC PHYSICIAN SERVICES, LLC
Active
Organization
PACIFIC PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
200 HOSPITAL DR W, HATTIESBURG, MS 39402-1346
(601) 296-3000
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7000
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00525592
—
MS
Enumeration date
07/21/2006
Last updated
06/01/2012
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