MEDICARE: SAMUEL C PACE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	07346	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679532386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL C PACE MD

Provider Business Mailing Address
First Line	:	PO BOX 21
Second Line	:
City	:	TUPELO
State	:	MS
Zip	:	38802-0021
Country	:	US
Telephone Number	:	662-680-5565
Fax Number	:	662-680-5654

Provider Business Practice Location Address
First Line	:	589 GARFIELD ST
Second Line	:	SUITE 201
City	:	TUPELO
State	:	MS
Zip	:	38801-6301
Country	:	US
Telephone Number	:	662-680-5565
Fax Number	:	662-680-5654

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	06/25/2012

Similar Medicare Providers

1154844033 — MRS. VANESSA JILL SIMMONS FNP-C
Practice Location Address:

589 GARFIELD ST STE 201
TUPELO, MS
38801-6301

Practice Phone: 662-680-5565
Practice Fax: 662-680-5654

1184614620 — DR. CLARENCE A JUSTICE MD
Practice Location Address:

589 GARFIELD ST STE 201
TUPELO, MS
38801-6301

Practice Phone: 662-680-5565
Practice Fax: 662-680-5654

1780668954 — MARY ELLEN MITCHELL MSN,FNP
Practice Location Address:

589 GARFIELD ST , SUITE 201
TUPELO, MS
38801-6301

Practice Phone: 662-680-5565
Practice Fax: 662-840-8636

1851350094 — MRS. STEPHANIE B ATKINSON N.P.
Practice Location Address:

589 GARFIELD ST STE 201
TUPELO, MS
38801-6301

Practice Phone: 662-821-1437
Practice Fax:

1962461673 — BARNEY GUYTON MD
Practice Location Address:

589 GARFIELD ST , SUITE 201
TUPELO, MS
38801-6301

Practice Phone: 662-680-5565
Practice Fax: 662-680-5654

1780643494 — ROGER L HUEY MD
Practice Location Address:

589 GARFIELD ST STE 201
TUPELO, MS
38801-6301

Practice Phone: 662-680-5565
Practice Fax: 662-680-5654

Directions to “ SAMUEL C PACE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.