Organization
FLORA PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICAH R WALKER MD (MEMBER)
(662) 402-1219
Entity
Organization
Contact information
Practice address
4848 MAIN ST, FLORA, MS 39071-9515
(769) 300-1775
Mailing address
PO BOX D, FLORA, MS 39071-1004
(769) 300-1775
(769) 300-1775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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