Whalio Doctors

NPI 1063818508

Psyclinic, LLC

Organisation Clinic/Center Flowood, MS

Practice location

Address
2540 Flowood Dr Suite a, Flowood, MS 39232-9362
Phone
(601) 939-5993
Fax
(601) 939-5935

Authorised official

Name
Sudhaker Madakasira
Title
MD
Phone
(601) 939-5993

Registered specialties

Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261Q00000X

Registry record

NPI
1063818508
Entity type
Organization
NPI issued
11 Nov 2014
Record last updated
11 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.