| Organization Name: | FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC |
| NPI Number: | 1619244589 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL L GINGRAS (VICE PRESIDENT) |
| Mailing Address: | 2550 Flowood Dr Suite 302 Flowood |
| State: | MS US |
| Postal Code: | 392329303 |
| Phone Number: | 6019361170 |
| Fax Number: | 6019361331 |
| NPI Enumeration Date: | 11/21/2011 |
| NPI Last Update Date: | 11/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |