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Organization

FLORA PHYSICIANS, PLLC

Active
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Organization

FLORA PHYSICIANS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICAH R WALKER MD (MEMBER)
(662) 402-1219
Entity
Organization

Contact information

Practice address
4848 MAIN ST, FLORA, MS 39071-9515
(769) 300-1775
Mailing address
PO BOX D, FLORA, MS 39071-1004
(769) 300-1775
(769) 300-1775

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—

Other

Enumeration date
05/08/2018
Last updated
05/08/2018
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