| Center Of Infectious Disease Excellence Llc | |
|
1040 River Oaks Dr Flowood MS 39232-9530 | |
| (601) 944-1717 | |
| Not Available |
| Full Name | Center Of Infectious Disease Excellence Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1040 River Oaks Dr, Flowood, Mississippi |
| Authorized Official Name and Position | David L Smith (OWNER) |
| Authorized Official Contact | 6019441717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Of Infectious Disease Excellence Llc Po Box 22679 Jackson MS 39225-2679 Ph: (601) 944-1717 | Center Of Infectious Disease Excellence Llc 1040 River Oaks Dr Flowood MS 39232-9530 Ph: (601) 944-1717 |
| NPI Number | 1114184926 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 10/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114184926 | NPI | - | NPPES |
| 05680536 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 05323 (Mississippi) | Primary |
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