| 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 | 2021-05-28 |