Flowood Primary Care | |
294 E Layfair Dr Flowood MS 39232-9526 | |
(601) 579-5463 | |
Not Available |
Full Name | Flowood Primary Care |
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Speciality | Clinic/Center |
Location | 294 E Layfair Dr, Flowood, Mississippi |
Authorized Official Name and Position | Bryan N Batson (CEO) |
Authorized Official Contact | 6012646000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Flowood Primary Care 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5463 | Flowood Primary Care 294 E Layfair Dr Flowood MS 39232-9526 Ph: (601) 579-5463 |
NPI Number | 1912600354 |
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Provider Enumeration Date | 03/24/2023 |
Last Update Date | 05/11/2023 |
Medicare PECOS PAC ID | 5193706794 |
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Medicare Enrollment ID | O20240313000816 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912600354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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