Organization
PACIFIC PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE T BREWER (VP)
(877) 892-9813
Entity
Organization
Contact information
Practice address
39 FRANKLIN RD, SUITE 220, HATTIESBURG, MS 39402-1588
(601) 450-2401
Mailing address
39 FRANKLIN RD, SUITE 220, HATTIESBURG, MS 39402-1588
(601) 450-2401
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03688866
—
MS
Enumeration date
07/21/2006
Last updated
11/12/2007
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