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Individual

DR. DWIGHT TIMOTHY FLOWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-4001
(601) 984-5583
Mailing address
274 BAYVIEW DR, MADISON, MS 39110-9176
(601) 853-1098

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T1794
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03958367
MS
05
1361348
LA
Enumeration date
05/25/2007
Last updated
02/09/2009
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