# FLOWOOD MEDICAL MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evexia Vein Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457714172
- **Authorized official:** SHANE TAPPER (OWNER)
- **Authorized official phone:** (601) 953-5256

## Contact information

- **Practice address:** 4800 LAKELAND DR, FLOWOOD, MS 39232-8694
- **Practice address phone:** (601) 953-5256
- **Mailing address:** 111 BELLE MEADE PT STE B, FLOWOOD, MS 39232-3337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2016
- **Last updated:** 03/30/2016