MEDICARE: FLOWERS FAMILY PRACTICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831298884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOWERS FAMILY PRACTICE

Provider Business Mailing Address
First Line	:	3667 MARLANE DRIVE
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123
Country	:	US
Telephone Number	:	614-277-9631
Fax Number	:	614-539-8273

Provider Business Practice Location Address
First Line	:	3667 MARLANE DRIVE
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123
Country	:	US
Telephone Number	:	614-277-9631
Fax Number	:	614-539-8273

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	MICHAEL SHAWN FLOWERS
Credential	:
Telephone Number	:	614-277-9631

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	08/22/2020

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Directions to “FLOWERS FAMILY PRACTICE ” Practice Location

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