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Organization
PACIFIC PHYSICIAN SERVICES, LLC
Active
Organization
PACIFIC PHYSICIAN SERVICES, LLC
Active
Other names
Hattiesburg Neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7000
Entity
Organization
Contact information
Practice address
14 ORLEANS DR, HATTIESBURG, MS 39402-8674
(501) 450-8000
Mailing address
14 ORLEANS DR, HATTIESBURG, MS 39402-8674
(501) 450-8000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
08/21/2007
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