Organization
SOUTHLAND WELLNESS PLLC
Active
Other names
Southland Wellness PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY PACE RN (OWNER)
(901) 281-9387
Entity
Organization
Contact information
Practice address
6810 CRUMPLER BLVD STE 100, OLIVE BRANCH, MS 38654-1934
(662) 892-8728
Mailing address
6810 CRUMPLER BLVD STE 100, OLIVE BRANCH, MS 38654-1934
(662) 892-8728
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3836655
—
TN
Enumeration date
12/05/2022
Last updated
12/05/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up