Organization
FLOWOOD MEDICAL MANAGEMENT LLC
Active
Other names
Evexia Vein Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE TAPPER (OWNER)
(601) 953-5256
Entity
Organization
Contact information
Practice address
4800 LAKELAND DR, FLOWOOD, MS 39232-8694
(601) 953-5256
Mailing address
111 BELLE MEADE PT STE B, FLOWOOD, MS 39232-3337
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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