OrganizationActive
Mississippi Pac Services Professional Association
NPI 1073042925 · Behavioral Neurology & Neuropsychiatry Physician · Holly Springs, MS
Provider details
- NPI number
- 1073042925
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lindsay Gordon, Pe(865) 500-1346
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
Practice location
960 Highway 4 E
Holly Springs, MS 38635-2145
Phone: (865) 693-1000
Approximate (ZIP-level) locationGet directions
Mailing address
265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052
Registry dates
- Enumerated
- 2017-06-05
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.