OrganizationCenter Of Infectious Disease Excellence LlcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1040 River Oaks Dr, Flowood, MS 39232-9530(601) 944-1717PECOS EnrollmentBased on the most recent information from CMS, provider Center Of Infectious Disease Excellence Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1114184926Provider TypeOrganizationFull NameCenter Of Infectious Disease Excellence LlcSubpartNoEnumeration Date5/20/2008Last Updated10/30/2008Contact InformationPractice LocationPractice Address1040 River Oaks Dr, Flowood, MS 39232-9530Phone(601) 944-1717FaxUnlisted FaxMailing LocationMailing AddressPO Box 22679, Jackson, MS 39225-2679Phone(601) 944-1717FaxUnlisted FaxAuthorized OfficialNameSmith, David L (Owner)Phone(601) 944-1717Provider TaxonomiesCodeDescriptionLicenseCode207RI0200XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense05323MississippiProvider IdentifiersIDDescriptionIssuerID05680536DescriptionMedicaidIssuerUnlistedMississippi