| NPI | 1972044048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWONA FLOWERS Nurse Practitioner 601-259-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: MS 901392) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |