Active NPI 1255419263 Individual Practitioner Male Practitioner

Dr. Mark A Condon , MD

Urology • Flowood, MS

Professional Overview & Biography Verified Profile Summary

Dr. Mark Condon, MD is a registered healthcare professional specializing in Urology in Flowood, MS. Practice services are available at 294 E LAYFAIR DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

294 E Layfair Dr

Flowood, MS 392329526

Telephone 6019364645

Associated Practice Facility / Clinic

🏢 Urological Surgery Associates Pllc Facility NPI 1629159587

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Flowood, MS

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Flowood, MS (111 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

19.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	357	317	$129.74	$117.55
81003 Automated urinalysis test	198	186	$2.48	$2.19
51798 Ultrasound measurement of bladder capacity after voiding	194	183	$12.00	$9.11
36415 Insertion of needle into vein for collection of blood sample	159	153	$3.34	$3.09
84153 Psa (prostate specific antigen) measurement, total	150	148	$20.63	$17.73
81001 Manual urinalysis test with examination using microscope, automated	102	79	$3.37	$3.09
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	99	29	$251.97	$168.38
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	35	35	$36.19	$29.35
74018 X-ray of abdomen, 1 view	28	24	$33.38	$26.02
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$92.05	$83.33
52000 Diagnostic exam of bladder and urethra using an endoscope	16	16	$269.74	$214.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$174.88	$154.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,900	55	$0.16	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,966	969	$127.14	$118.08
81003 Automated urinalysis test	1,118	621	$2.45	$2.19
51798 Ultrasound measurement of bladder capacity after voiding	1,014	582	$12.38	$8.93
87798 Detection test for organism	949	60	$36.06	$34.28
36415 Insertion of needle into vein for collection of blood sample	844	478	$3.30	$2.92
84153 Psa (prostate specific antigen) measurement, total	739	437	$20.44	$17.94
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	555	68	$234.25	$171.35
81001 Manual urinalysis test with examination using microscope, automated	544	302	$3.57	$3.09
87481 Detection test for candida species (yeast), amplified probe technique	365	60	$36.51	$34.72
87801 Detection test for multiple organisms	222	60	$72.45	$69.46
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	193	68	$34.43	$29.03
J0696 Injection, ceftriaxone sodium, per 250 mg	184	43	$1.14	$0.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	178	178	$167.02	$155.51
74018 X-ray of abdomen, 1 view	161	117	$30.85	$25.89
99213 Established patient office or other outpatient visit, typically 15 minutes	160	132	$89.05	$84.35
52000 Diagnostic exam of bladder and urethra using an endoscope	90	71	$256.06	$219.50
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	74	60	$36.70	$34.72
87641 Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique	74	60	$36.60	$34.72
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	74	60	$36.60	$34.72
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	74	60	$36.60	$34.72
87651 Detection test for Strep (Streptococcus, group A)	73	60	$35.77	$34.72
82565 Blood creatinine level	60	57	$6.03	$4.97
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	59	45	$22.37	$20.79
50590 Shock wave crushing of kidney stones	57	48	$761.76	$527.89
74178 Ct scan of abdomen and pelvis before and after contrast	51	48	$374.44	$320.13
87086 Bacterial colony count, urine	41	35	$8.75	$7.70
76872 Ultrasound scan of pelvic region through rectum	40	38	$205.47	$118.95
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	38	37	$73.15	$50.80
55700 Biopsy of prostate gland	37	37	$252.54	$217.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	19	$67.63	$67.21
51702 Simple insertion of temporary bladder tube	21	15	$68.85	$56.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$186.47	$187.24
52000 Diagnostic exam of bladder and urethra using an endoscope	15	15	$235.51	$73.80
74176 Ct scan of abdomen and pelvis without contrast	14	14	$206.06	$174.83
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$469.38	$144.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,200	40	$0.15	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,849	933	$119.26	$118.97
81003 Automated urinalysis test	1,098	601	$2.48	$2.24
51798 Ultrasound measurement of bladder capacity after voiding	1,004	546	$10.24	$8.81
36415 Insertion of needle into vein for collection of blood sample	842	475	$3.31	$2.97
84153 Psa (prostate specific antigen) measurement, total	735	431	$20.65	$18.26
87798 Detection test for organism	704	42	$36.05	$35.09
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	654	70	$237.10	$176.91
81001 Manual urinalysis test with examination using microscope, automated	608	325	$3.46	$3.14
99213 Established patient office or other outpatient visit, typically 15 minutes	429	346	$83.53	$83.55
87481 Detection test for candida species (yeast), amplified probe technique	272	42	$36.04	$35.09
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	211	70	$30.28	$28.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	187	187	$157.52	$155.54
74018 X-ray of abdomen, 1 view	187	117	$27.33	$25.08
87801 Detection test for multiple organisms	164	42	$71.73	$70.20
J0696 Injection, ceftriaxone sodium, per 250 mg	140	34	$1.80	$0.53
52000 Diagnostic exam of bladder and urethra using an endoscope	106	83	$220.40	$209.22
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	82	54	$21.08	$20.53
87086 Bacterial colony count, urine	74	61	$9.27	$7.92
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	55	42	$36.17	$35.09
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	55	42	$36.10	$35.09
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	55	42	$36.10	$35.09
87641 Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique	54	42	$36.12	$35.09
50590 Shock wave crushing of kidney stones	52	46	$772.59	$528.84
87651 Detection test for Strep (Streptococcus, group A)	49	39	$35.60	$35.09
82565 Blood creatinine level	46	43	$6.05	$5.00
74178 Ct scan of abdomen and pelvis before and after contrast	40	39	$358.11	$322.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	33	$68.61	$68.36
76872 Ultrasound scan of pelvic region through rectum	35	34	$167.11	$119.48
55700 Biopsy of prostate gland	33	33	$243.64	$225.38
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	33	32	$79.05	$53.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$190.20	$190.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$49.86	$49.24
74176 Ct scan of abdomen and pelvis without contrast	27	26	$187.35	$179.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$105.97	$104.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	23	$15.29	$12.78
52000 Diagnostic exam of bladder and urethra using an endoscope	18	18	$226.55	$74.62
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	16	$399.32	$135.15
51741 Electronic assessment of bladder emptying	12	11	$12.82	$10.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,600	55	$0.13	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,003	1,072	$101.99	$100.34
81003 Automated urinalysis test	1,067	597	$2.67	$2.22
51798 Ultrasound measurement of bladder capacity after voiding	990	553	$12.31	$8.91
36415 Insertion of needle into vein for collection of blood sample	865	497	$3.49	$2.97
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	739	77	$276.93	$216.85
84153 Psa (prostate specific antigen) measurement, total	737	447	$22.44	$18.21
81001 Manual urinalysis test with examination using microscope, automated	600	319	$3.54	$3.14
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	237	77	$30.00	$27.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	227	227	$153.51	$151.22
74018 X-ray of abdomen, 1 view	186	107	$27.37	$24.75
J0696 Injection, ceftriaxone sodium, per 250 mg	136	30	$1.02	$0.55
52000 Diagnostic exam of bladder and urethra using an endoscope	108	89	$204.82	$188.13
99213 Established patient office or other outpatient visit, typically 15 minutes	98	82	$69.73	$69.19
87086 Bacterial colony count, urine	90	70	$9.40	$8.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	67	47	$21.45	$20.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	58	$41.54	$41.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	43	$68.74	$67.83
82565 Blood creatinine level	57	57	$6.15	$5.08
74178 Ct scan of abdomen and pelvis before and after contrast	53	53	$340.92	$329.00
50590 Shock wave crushing of kidney stones	31	29	$820.58	$543.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	25	$13.23	$13.08
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	26	$63.24	$52.85
76872 Ultrasound scan of pelvic region through rectum	27	26	$137.60	$126.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$191.07	$192.21
52000 Diagnostic exam of bladder and urethra using an endoscope	23	21	$201.16	$78.33
55700 Biopsy of prostate gland	23	23	$235.25	$227.94
99442 Telephone medical discussion with physician, 11-20 minutes	23	20	$45.00	$45.11
74176 Ct scan of abdomen and pelvis without contrast	21	20	$192.33	$182.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$129.18	$130.36
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	16	$509.06	$137.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$134.71	$135.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	6,300	61	$0.14	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,283	1,165	$103.18	$100.42
81003 Automated urinalysis test	1,081	592	$2.99	$2.43
51798 Ultrasound measurement of bladder capacity after voiding	1,021	549	$13.38	$11.06
36415 Insertion of needle into vein for collection of blood sample	895	491	$3.66	$2.92
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	765	79	$262.95	$221.98
84153 Psa (prostate specific antigen) measurement, total	758	433	$25.50	$19.95
81001 Manual urinalysis test with examination using microscope, automated	588	332	$4.00	$3.43
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	248	79	$29.10	$27.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	203	203	$155.68	$149.93
74018 X-ray of abdomen, 1 view	171	106	$26.19	$24.18
J0696 Injection, ceftriaxone sodium, per 250 mg	144	32	$2.64	$0.55
52000 Diagnostic exam of bladder and urethra using an endoscope	127	106	$192.11	$168.10
87086 Bacterial colony count, urine	97	72	$96.78	$8.73
99213 Established patient office or other outpatient visit, typically 15 minutes	85	68	$69.76	$68.62
82565 Blood creatinine level	67	65	$6.27	$5.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	55	$41.80	$40.55
74178 Ct scan of abdomen and pelvis before and after contrast	60	59	$344.05	$322.07
51702 Simple insertion of temporary bladder tube	59	23	$56.64	$56.45
50590 Shock wave crushing of kidney stones	55	47	$710.11	$535.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	41	$20.96	$20.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	39	$69.85	$68.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$192.11	$190.90
76872 Ultrasound scan of pelvic region through rectum	33	30	$133.06	$115.82
52000 Diagnostic exam of bladder and urethra using an endoscope	31	29	$168.65	$77.26
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	31	28	$99.21	$52.73
55700 Biopsy of prostate gland	31	30	$258.10	$229.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$129.49	$129.06
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	19	$503.26	$135.19
74176 Ct scan of abdomen and pelvis without contrast	21	19	$183.32	$182.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$37.28	$37.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$138.42	$135.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,900	38	$0.15	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,320	1,174	$100.63	$96.52
81003 Automated urinalysis test	1,042	557	$3.21	$2.69
51798 Ultrasound measurement of bladder capacity after voiding	928	495	$15.78	$13.65
36415 Insertion of needle into vein for collection of blood sample	878	481	$3.63	$2.93
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	792	83	$220.01	$206.56
84153 Psa (prostate specific antigen) measurement, total	757	433	$26.83	$22.16
81001 Manual urinalysis test with examination using microscope, automated	595	335	$4.48	$3.83
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	263	84	$28.05	$27.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	200	200	$151.87	$146.39
74018 X-ray of abdomen, 1 view	169	100	$25.33	$23.09
J0696 Injection, ceftriaxone sodium, per 250 mg	156	37	$2.47	$0.61
87086 Bacterial colony count, urine	127	81	$12.02	$9.71
52000 Diagnostic exam of bladder and urethra using an endoscope	113	88	$169.82	$147.08
99213 Established patient office or other outpatient visit, typically 15 minutes	73	61	$68.24	$65.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	49	$41.00	$39.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	55	42	$20.93	$19.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	36	$69.20	$64.06
82565 Blood creatinine level	42	40	$7.22	$6.20
76872 Ultrasound scan of pelvic region through rectum	40	38	$101.81	$77.06
50590 Shock wave crushing of kidney stones	37	36	$819.54	$533.53
55700 Biopsy of prostate gland	37	37	$241.29	$220.85
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	36	34	$86.42	$49.46
74178 Ct scan of abdomen and pelvis before and after contrast	36	36	$341.73	$311.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	34	$188.09	$184.53
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$93.64	$91.46
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$211.95	$74.16
74176 Ct scan of abdomen and pelvis without contrast	11	11	$203.52	$179.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,297	1,156	$101.57	$97.48
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,398	13	$0.19	$0.12
81003 Automated urinalysis test	1,109	580	$3.42	$2.97
51798 Ultrasound measurement of bladder capacity after voiding	844	456	$17.79	$16.27
36415 Insertion of needle into vein for collection of blood sample	782	439	$4.10	$2.90
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	726	81	$238.08	$206.59
84153 Psa (prostate specific antigen) measurement, total	708	418	$25.43	$20.70
81001 Manual urinalysis test with examination using microscope, automated	591	334	$6.25	$4.18
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	241	82	$29.95	$28.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	187	187	$154.43	$149.13
87086 Bacterial colony count, urine	171	111	$12.46	$10.69
74000 X-ray of abdomen, single view	169	99	$23.72	$20.68
J0696 Injection, ceftriaxone sodium, per 250 mg	144	34	$0.73	$0.52
52000 Diagnostic exam of bladder and urethra using an endoscope	127	104	$191.41	$147.27
99213 Established patient office or other outpatient visit, typically 15 minutes	102	86	$68.64	$65.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	74	61	$19.18	$17.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	58	$40.47	$39.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	34	$68.47	$67.00
50590 Shock wave crushing of kidney stones	40	35	$763.71	$528.91
51702 Simple insertion of temporary bladder tube	36	14	$64.71	$56.36
76872 Ultrasound scan of pelvic region through rectum	35	33	$85.81	$78.46
99221 Initial hospital inpatient care per day, typically 30 minutes	35	35	$96.64	$94.48
55700 Biopsy of prostate gland	32	32	$208.87	$204.83
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	28	27	$55.97	$52.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	18	$22.85	$21.49
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$454.64	$127.48
74178 Ct scan of abdomen and pelvis before and after contrast	13	13	$352.35	$313.29
82565 Blood creatinine level	12	11	$15.60	$6.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$192.82	$190.11
80048 Blood test, basic group of blood chemicals (calcium, total)	11	11	$15.09	$11.37

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MS 13590

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00119423 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Avinash Gulanikar , MD

Urology

NPI 1013098995

Doctor of Medicine (M.D.)

Alice Hilgart , PA-C

Physician Assistant

NPI 1689326357

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 13, 2014

Registered at 294 E LAYFAIR DR, FLOWOOD, MS 392329526 (Tel: 6019364645)

📍

Updated Business Mailing Address March 13, 2014

Registered at 294 E LAYFAIR DR, FLOWOOD, MS 392329526 (Tel: 6019364645)

👤

Provider Name / Credentials Updated March 13, 2014

Recorded as MARK CONDON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2014

Urology (License #13590 in MS)

🟢

Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1255419263

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 01, 2006

Last Update: March 13, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

294 E Layfair Dr

Flowood, MS 392329526

Phone: 6019364645

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.