Individual
DR. SIDNEY K PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 SOUTH LAMAR BLVD., OXFORD, MS 38655
(662) 232-8568
(662) 513-1450
Mailing address
965 RIDGE LAKE BLVD STE 102, MEMPHIS, TN 38120-9401
(901) 227-4068
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13638
MS
208M00000X
Hospitalist Physician
Primary
13638
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115133
—
MS
01
—
P00285422
RAILROAD MEDICARE
—
Enumeration date
06/06/2006
Last updated
05/14/2021
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