# BAPTIST PT - FLOWOOD

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

## Provider details

- **NPI number:** 1942675889
- **Authorized official:** AMY GRISSETT (BILLING MANAGER)
- **Authorized official phone:** (601) 944-1717

## Contact information

- **Practice address:** 4301 LAKELAND DR, FLOWOOD, MS 39232-8947
- **Practice address phone:** (601) 939-7010
- **Mailing address:** 4301 LAKELAND DR, FLOWOOD, MS 39232-8947
- **Mailing address phone:** (601) 939-7010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | MS | Yes |

## Other

- **Enumeration date:** 12/03/2015
- **Last updated:** 12/04/2015