Provider Demographics
NPI:1255385043
Name:FLOWERS, DAVID LESLIE (MD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:LESLIE
Last Name:FLOWERS
Suffix:
Gender:M
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:PO BOX 1038
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31902-1038
Mailing Address - Country:US
Mailing Address - Phone:706-571-1311
Mailing Address - Fax:706-660-2464
Practice Address - Street 1:710 CENTER ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1527
Practice Address - Country:US
Practice Address - Phone:700-657-1131
Practice Address - Fax:706-660-2464
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA043045208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000784869FMedicaid
GA52672830-004OtherBCBS
104279OtherPEACHSTATE
AL135331OtherBCBS
433907OtherWELLCARE
GA52672830-004OtherBCBS
GAG66152Medicare UPIN