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NPI 1962094441 · live from the CMS NPI Registry

Happy Tummies PA

Pediatrics, Pediatric Gastroenterology in Flowood, MS. National Provider Identifier 1962094441, active.

NPI record

NPI1962094441 Type 2 · organization
StatusActive
Primary specialtyPediatrics, Pediatric Gastroenterology 2080P0206X
Practice location1679 Old Fannin Rd Ste E, Flowood, MS 39232
Practice phone601-398-1949
EnumeratedFebruary 6, 2021
Last updatedJuly 12, 2021
Authorized officialAngela Shannon, Owner / Physician

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Gastroenterology207RG0100X—
Pediatrics, Pediatric Gastroenterology primary2080P0206X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.