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 | 2024-10-01 |