# MISSISSIPPI VEIN INSTITUTE

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

## Provider details

- **NPI number:** 1487800520
- **Authorized official:** DR. JOHN MICHAEL MANNING M.D. (PRESIDENT)
- **Authorized official phone:** (601) 927-8176

## Contact information

- **Practice address:** 111 FOUNTAINS BLVD, MADISON, MS 39110-6344
- **Practice address phone:** (601) 707-7026
- **Practice address fax:** (601) 707-7054
- **Mailing address:** 111 FOUNTAINS BLVD, MADISON, MS 39110-6344
- **Mailing address phone:** (601) 707-7026
- **Mailing address fax:** (601) 707-7054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |

## Other

- **Enumeration date:** 08/08/2008
- **Last updated:** 09/26/2025