Flowers Medical Group Llc | |
1901 Mission 66 Vicksburg MS 39180-3711 | |
(601) 636-0097 | |
Not Available |
Full Name | Flowers Medical Group Llc |
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Speciality | Family Medicine |
Location | 1901 Mission 66, Vicksburg, Mississippi |
Authorized Official Name and Position | Jonathan Flowers (MGR) |
Authorized Official Contact | 6016360097 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Flowers Medical Group Llc 1901 Mission 66 Vicksburg MS 39180-3711 Ph: (601) 636-0097 | Flowers Medical Group Llc 1901 Mission 66 Vicksburg MS 39180-3711 Ph: (601) 636-0097 |
NPI Number | 1174246474 |
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Provider Enumeration Date | 09/21/2022 |
Last Update Date | 09/21/2022 |
Medicare PECOS PAC ID | 8325415243 |
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Medicare Enrollment ID | O20221107001830 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174246474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jonathan G Flowers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649659731 PECOS PAC ID: 1254647571 Enrollment ID: I20180822001263 |
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