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Organization
HENRY FLAUTT JR MD PA
Active
Organization
HENRY FLAUTT JR MD PA
Active
Other names
Henry Flautt Jr MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK HENRY FLAUTT JR. MD (PRESIDENT)
(662) 453-0722
Entity
Organization
Contact information
Practice address
408 W MARKET ST, GREENWOOD, MS 38930-4232
(662) 453-0722
(662) 453-5284
Mailing address
408 W MARKET ST, GREENWOOD, MS 38930-4232
(662) 453-0722
(662) 453-5284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13172
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113766
—
MS
Enumeration date
03/19/2014
Last updated
03/19/2014
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