Basic Information
Provider Information
NPI: 1245220680
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FLOWERS
FirstName: GEORGE
MiddleName: ADAM
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9151 ESTATE THOMAS
Address2: FOOTHILLS PROFESIONAL BUILDING #206
City: ST THOMAS
State: VI
PostalCode: 008022617
CountryCode: US
TelephoneNumber: 3407792663
FaxNumber: 3407792443
Practice Location
Address1: 9151 ESTATE THOMAS
Address2: FOOTHILLS PROFESIONAL BUILDING #206
City: ST THOMAS
State: VI
PostalCode: 008022617
CountryCode: US
TelephoneNumber: 3407792663
FaxNumber: 3407792443
Other Information
ProviderEnumerationDate: 10/26/2005
LastUpdateDate: 08/20/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X200300469NCN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XX0005X200300469NCN Allopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
207X00000X1706VIN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XX0005X1706VIY Allopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine

ID Information
IDTypeStateIssuerDescription
038226000101 DMERC MEDICAREOTHER
89134JN05NC MEDICAID
P0008569201 RAILROAD MEDICAREOTHER
80297401 PARTNERS MEDICAREOTHER
170601VIVI LICENSEOTHER
134JN01 BCBSOTHER
669742201 CIGNAOTHER
220842301 UNITED HEALTHCAREOTHER
710934601 AETNAOTHER


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