| Mississippi Phs Md Llc | |
|
232 Market St Flowood MS 39232-3339 | |
| (337) 991-9276 | |
| Not Available |
| Full Name | Mississippi Phs Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 232 Market St, Flowood, Mississippi |
| Authorized Official Name and Position | Nicole Howard (CEO) |
| Authorized Official Contact | 3379919276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Phs Md Llc 1509 Dulles Dr Lafayette LA 70506-3718 Ph: () - | Mississippi Phs Md Llc 232 Market St Flowood MS 39232-3339 Ph: (337) 991-9276 |
| NPI Number | 1265803985 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 10/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265803985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
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