FLOWOOD MEDICAL MANAGEMENT LLC NPI 1457714172

NPI Information

FLOWOOD MEDICAL MANAGEMENT LLC is a vascular surgery surgery in Flowood, MS. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. FLOWOOD MEDICAL MANAGEMENT LLC NPI is 1457714172. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Evexia Vein Center.

The provider's business location address is:

4800 LAKELAND DR
FLOWOOD, MS
ZIP 39232-694
Phone: (601) 953-5256

The provider's authorized official is Shane Tapper .
The authorized official title is Owner and has the following contact phone number (601) 953-5256.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 3/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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