Henry Flautt Jr Md | |
408 W Market St Greenwood MS 38930-4232 | |
(662) 453-0722 | |
(662) 453-5284 |
Full Name | Henry Flautt Jr Md |
---|---|
Speciality | Internal Medicine |
Location | 408 W Market St, Greenwood, Mississippi |
Authorized Official Name and Position | Frank Henry Flautt (PRESIDENT) |
Authorized Official Contact | 6624530722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Henry Flautt Jr Md 408 W Market St Greenwood MS 38930-4232 Ph: (662) 453-0722 | Henry Flautt Jr Md 408 W Market St Greenwood MS 38930-4232 Ph: (662) 453-0722 |
NPI Number | 1578980298 |
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Provider Enumeration Date | 03/19/2014 |
Last Update Date | 03/19/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578980298 | NPI | - | NPPES |
0113766 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 13172 (Mississippi) | Primary |
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