Organization · NPI-2
Mississippi Vein Institute
Phlebology · Madison, MS
NPI number1487800520
StatusActive
Last updated in NPPESSep 26, 2025
Details
- NPI
- 1487800520
- Entity type
- Organization (NPI-2)
- Legal business name
- Mississippi Vein Institute
- Organization subpart
- No
- Enumeration date
- Aug 8, 2008
- Certification date
- Sep 26, 2025
- Last updated
- Sep 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202K00000X | Phlebology | – | – | Yes |
| 207L00000X | Anesthesiology | – | – |
Practice location
111 Fountains BlvdMadison, MS 39110-6344
Phone 601-707-7026 · Fax 601-707-7054
Mailing address
111 Fountains BlvdMadison, MS 39110-6344
Phone 601-707-7026 · Fax 601-707-7054
Authorized official
John Michael Manning
President
6019278176
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