Organization
MISSISSIPPI PAC SERVICES PROFESSIONAL ASSOCIATION
Active
Organization
MISSISSIPPI PAC SERVICES PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY GORDON (PE)
(865) 500-1346
Entity
Organization
Contact information
Practice address
960 HIGHWAY 4 E, HOLLY SPRINGS, MS 38635-2145
(865) 693-1000
Mailing address
265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919-4052
(865) 693-1000
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
06/05/2017
Last updated
04/20/2026
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