Healthcare Provider Details

I. General information

NPI: 1336223163
Provider Name (Legal Business Name): WILLIAM CRAIG FLOWERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 01/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 E METRO DR STE 102
FLOWOOD MS
39232-4404
US

IV. Provider business mailing address

2200 SHEFFIELD DR
JACKSON MS
39211-5852
US

V. Phone/Fax

Practice location:
  • Phone: 601-992-2292
  • Fax: 601-709-2194
Mailing address:
  • Phone: 601-366-4411
  • Fax: 601-366-4411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number13748
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number13748
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: