Individual
DR. REBECCA CHICK PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, SUITE 500, JACKSON, MS 39202-2000
(601) 352-2273
(601) 714-3415
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-3205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22894
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22894
MS PERMANENT MEDICAL LICENSE
MS
Enumeration date
07/05/2011
Last updated
03/15/2018
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