ADVANCED VASCULAR AND VEIN ASSOCIATES LLC NPI 1275205809

NPI Information

  • NPI: 1275205809
  • Provider Name: ADVANCED VASCULAR AND VEIN ASSOCIATES, LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 25D2250603
  • Address: 4436 MANGUM DR
    FLOWOOD, MS
    ZIP 39232
  • Phone: (601) 586-7070

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NPI Details

ADVANCED VASCULAR AND VEIN ASSOCIATES, LLC is a multi-specialty clinic center in Flowood, MS. ADVANCED VASCULAR AND VEIN ASSOCIATES, LLC NPI is 1275205809. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4436 MANGUM DR
FLOWOOD, MS
ZIP 39232-113
Phone: (601) 586-7070
Fax: (601) 586-7071

The provider's authorized official is Lachelle Griffin .
The authorized official title is Credentialing Manager and has the following contact phone number (769) 208-4437.

The CLIA number assigned to this NPI record is 25D2250603 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2021 and was last updated on 10/23/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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