Organization
FLOWOOD FAMILY MEDICINE, PLLC
Active
Other names
Medical Wellness and Nutrition Center of MS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M YOUNG M.D. (OWNER)
(601) 939-4008
Entity
Organization
Contact information
Practice address
1 LAYFAIR DR, SUITE 100, FLOWOOD, MS 39232-9717
(601) 939-4008
(601) 939-4010
Mailing address
1 LAYFAIR DR, SUITE 100, FLOWOOD, MS 39232-9717
(601) 939-4008
(601) 939-4010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19643
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03136371
—
MS
01
—
DO4168
MEDICARE RR
—
Enumeration date
01/30/2008
Last updated
08/20/2009
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