Individual
KESHA MAJOR FLANTROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 364-5159
Mailing address
3502 W NORTHSIDE DRIVE, JACKSON, MS 39213
(601) 362-5321
(601) 362-5321
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME96498
FL
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
ME96498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01435098
—
MS
05
—
2001153230A
—
FL
Enumeration date
05/19/2007
Last updated
06/21/2013
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