OrganizationActive
Acs Emergency Physicians PA
NPI 1649384512 · Emergency Medicine Physician · Picayune, MS
Provider details
- NPI number
- 1649384512
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jackie Lane, Cfo(954) 475-1300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
801 Goodyear Blvd
Picayune, MS 39466-3221
Phone: (601) 798-4711
Approximate (ZIP-level) locationGet directions
Mailing address
1900 N Winston Rd
Knoxville, TN 37919-3606
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2007-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.