Individual
SAMUEL C PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
589 GARFIELD ST, SUITE 201, TUPELO, MS 38801-6301
(662) 680-5565
(662) 680-5654
Mailing address
PO BOX 21, TUPELO, MS 38802-0021
(662) 680-5565
(662) 680-5654
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
07346
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115000
—
MS
Enumeration date
03/21/2006
Last updated
06/25/2012
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