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General NPI Number Information
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NPI Number | 1710177035
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Entity Type | Organization
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Legal Business Name | GEOFFREY J FLATTMANN MD FACS PLLC
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 142 JEFF DAVIS BLVD SUITE A
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City | NATCHEZ
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State | MS
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Zip | 39120-5104
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Country | US
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Telephone | 601-445-8667
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Fax |
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Provider Business Mailing Address
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Address Line | 1046 HIGHWAY 61 S
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City | NATCHEZ
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State | MS
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Zip | 39120-8615
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Country | US
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Telephone | 601-442-8219
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GEOFFREY J FLATTMANN
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Credential | M.D.
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Telephone | 601-445-8667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 16771
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License Number State | MS
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