Provider Demographics
NPI:1134147580
Name:FLOWERS, JEANNE SMITH (MD)
Entity type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:SMITH
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 1:3919 PETERS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:VA
Mailing Address - Zip Code:24171-3537
Mailing Address - Country:US
Mailing Address - Phone:276-694-4663
Mailing Address - Fax:
Practice Address - Street 1:3919 PETERS CREEK DR
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:VA
Practice Address - Zip Code:24171-3537
Practice Address - Country:US
Practice Address - Phone:276-694-4663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101053592207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC146HGOtherBCBS
VA01439B98Medicare PIN
NC146HGOtherBCBS