Individual
JAMES GIROD PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12839 6TH ST, LILLIAN, AL 36549-0797
(251) 962-4111
(251) 962-4112
Mailing address
PO BOX 797, LILLIAN, AL 36549-0797
(251) 962-4111
(251) 962-4112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00013078
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004359376
AETNA
KY
01
—
0619272
AETNA
TX
01
—
581732073 0001
CIGNA
—
01
—
581732073 36549 A001
TRICARE
WI
Enumeration date
08/23/2006
Last updated
03/17/2008
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