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Contact Information

FLOWOOD MEDICAL MANAGEMENT LLC
4800 LAKELAND DR
FLOWOOD, MS39232-8694
 Phone: 601-953-5256
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for FLOWOOD MEDICAL MANAGEMENT LLC

NPI # 1457714172
LBN Legal business name FLOWOOD MEDICAL MANAGEMENT LLC
Authorized official SHANE TAPPER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2016
Last updated 03/30/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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