Pace, Samuel C

Pace, Samuel C is an individual health care provider with primary practice located at 589 Garfield St Suite 201, Tupelo MS 38801-6301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Pace, Samuel C can be contacted via phone (662) 680-5565.

Contact Information

Primary practice address
589 Garfield St Suite 201 Tupelo MS 38801-6301
Phone: (662) 680-5565
Fax: (662) 680-5654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 07346 Mississippi

Profile Details

NPI number 1679532386
LBN Legal business name Pace, Samuel C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jun 25th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679532386 NPPES
Mississippi MEDICAID 00115000

Popular Providers