Individual
GEOFFREY J FLATTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142 JEFF DAVIS BLVD, SUITE A, NATCHEZ, MS 39120-5104
(601) 445-8667
(601) 445-8767
Mailing address
142 JEFF DAVIS BLVD STE A, NATCHEZ, MS 39120-5104
(160) 144-5866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16771
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122080
—
MS
01
—
022612
MEDICAL LICENSE
LA
01
—
16771
MEDICAL LICENSE
MS
05
—
1684147
—
LA
Enumeration date
05/05/2006
Last updated
02/09/2022
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