Organization
PACIFIC PHYSICIAN SERVICES, LLC
Active
Other names
Hattiesburg Neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7000
Entity
Organization
Contact information
Practice address
14 ORLEANS DR, HATTIESBURG, MS 39402-8674
(501) 450-8000
Mailing address
14 ORLEANS DR, HATTIESBURG, MS 39402-8674
(501) 450-8000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
08/21/2007
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