Organization
CLINTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEWONA FLOWERS (NURSE PRACTITIONER)
(601) 259-4771
Entity
Organization
Contact information
Practice address
604 LEXINGTON CV, BYRAM, MS 39272-3004
(601) 259-4471
Mailing address
604 LEXINGTON CV, BYRAM, MS 39272-3004
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
901392
MS
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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