Mary Ellis Pace in Tupelo - Internal Medicine
Mary Ellis Pace - NPI 1912946450
Mary Ellis Pace is a Internal Medicine in Tupelo, Mississippi. Mary Ellis Pace practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mary Ellis Pace is 1912946450. The last update date is 2011-12-12.
Mary Ellis Pace's current location address is 1265 Cliff Gookin Blvd, Tupelo, Mississippi. You can contact this provider via phone number 6628402131 and fax number 6628402522. The mailing address for Mary Ellis Pace is 1265 Cliff Gookin Blvd, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellis Pace |
|---|---|
| Address | 1265 Cliff Gookin Blvd, Tupelo, Mississippi |
| Phone Number | 6628402131 |
| Fax Number | 6628402522 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912946450 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2011-12-12 |
Provider Mailing Address Detail
| Address | 1265 Cliff Gookin Blvd |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388016749 |
| Phone Number | 6628402131 |
| Fax Number | 6628402522 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 7345 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 115036 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Ellis Pace by the Centers for Medicare & Medicaid Services?
The Mary Ellis Pace has been assigned the NPI (National Provider Identifier) 1912946450 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mary Ellis Pace?
The Mary Ellis Pace is situated at 1265 Cliff Gookin Blvd, in the city of Tupelo, state of MS, with the zip code 388016749.
What is the Mary Ellis Pace's area of specialization and corresponding taxonomy classification?
The Mary Ellis Pace's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1912946450 to Mary Ellis Pace?
The Centers for Medicare & Medicaid Services assigned the 1912946450 to Mary Ellis Pace on 2006-06-06.
When was the Mary Ellis Pace's information last updated?
The Mary Ellis Pace's information was last updated on 2011-12-12.