# PACE MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679615306
- **Authorized official:** JAMES MICHAEL PACE M.D. (MANAGER)
- **Authorized official phone:** (601) 788-6381

## Contact information

- **Practice address:** 406 SOUTH FRONT STREET, RICHTON, MS 39476
- **Practice address phone:** (601) 788-6381
- **Practice address fax:** (601) 788-9716
- **Mailing address:** PO BOX 850, RICHTON, MS 39476-0850
- **Mailing address phone:** (601) 788-6381
- **Mailing address fax:** (601) 788-9716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 15454 | MS | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/22/2020