# FLORA PHYSICIANS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295224954
- **Authorized official:** DR. MICAH R WALKER MD (MEMBER)
- **Authorized official phone:** (662) 402-1219

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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