| Organization Name: | PACIFIC PHYSICIAN SERVICES, LLC |
| NPI Number: | 1790706463 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBIE T BREWER (VP) |
| Mailing Address: | 39 Franklin Rd Suite 220 Hattiesburg |
| State: | MS US |
| Postal Code: | 394021588 |
| Phone Number: | 6014502401 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 11/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |