| NPI | 1528109972 | 
|---|---|
| Former Legal Business Name | FLOWOOD VASCULAR ACCESS, LLC | 
| Entity Type | Organization | 
| Authorized Contact | MARK KLEIN Authorized Official 601-981-1610 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology | 
| Enumeration Date | 2007-02-09 | 
| Last Update Date | 2025-09-23 |