Organization
PACIFIC PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
V KAREN FLINN (VP)
(361) 579-0315
Entity
Organization
Contact information
Practice address
101 ASBURY CIRLCE, HATTIESBURG, MS 39402
(601) 268-5200
Mailing address
101 ASBURY CIRLCE, HATTIESBURG, MS 39402
(601) 268-5200
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00724395
—
MS
Enumeration date
07/19/2006
Last updated
08/22/2020
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