Provider Demographics
NPI:1639276686
Name:FLOWERS, RUNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:RUNETTE
Middle Name:
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2855 CANDLER RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-1415
Mailing Address - Country:US
Mailing Address - Phone:404-243-9630
Mailing Address - Fax:404-241-5015
Practice Address - Street 1:2855 CANDLER RD
Practice Address - Street 2:SUITE 9
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-1415
Practice Address - Country:US
Practice Address - Phone:404-243-9630
Practice Address - Fax:404-241-5015
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA018297208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000118962BMedicaid