Individual provider · NPI-1

Jonathan Grey Flowers, D.O.

Family Medicine · Vicksburg, MS

NPI number1649659731
StatusActive
Last updated in NPPESAug 30, 2023

Details

NPI
1649659731
Entity type
Individual (NPI-1)
Name
Jonathan Grey Flowers
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 22, 2015
Certification date
Aug 30, 2023
Last updated
Aug 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine25894MSYes

Practice location

1901 Mission 66
Vicksburg, MS 39180-3711

Phone 601-636-1050

Mailing address

1901 Mission 66
Vicksburg, MS 39180-3711

Phone 601-636-1050

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