National Provider Identifier Database

PACIFIC PHYSICIAN SERVICES LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

PACIFIC PHYSICIAN SERVICES, LLC
101 ASBURY CIRLCE
HATTIESBURG, MS39402
Phone: 601-268-5200
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for PACIFIC PHYSICIAN SERVICES, LLC

NPI Number 1285653386
Legal business name
LBN
PACIFIC PHYSICIAN SERVICES, LLC
Authorized official V FLINN - (VP)
Entity Organization
Organization subpart No
Enumeration date 07/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 00724395

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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