Individual
DR. J MINOR PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
100 AIRPORT RD S, PEARL, MS 39208-6654
(601) 939-3753
(601) 936-6586
Mailing address
100 AIRPORT RD S, PEARL, MS 39208-6654
(601) 939-3753
(601) 936-6586
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
529
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0880171
—
MS
Enumeration date
12/22/2006
Last updated
02/22/2008
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