OrganizationNancy Dorman Md,Phd PllcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1040 River Oaks Dr, Flowood, MS 39232-9530(601) 933-5660PECOS EnrollmentBased on the most recent information from CMS, provider Nancy Dorman Md,Phd Pllc 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 ID1295999472Provider TypeOrganizationFull NameNancy Dorman Md,Phd PllcSubpartNoEnumeration Date7/16/2008Last Updated7/17/2008Contact InformationPractice LocationPractice Address1040 River Oaks Dr, Flowood, MS 39232-9530Phone(601) 933-5660FaxUnlisted FaxMailing LocationMailing AddressPO Box 863, Jackson, MS 39205-0863PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameYounkins, Nicole (Cpc)Phone(601) 944-1717Provider TaxonomiesCodeDescriptionLicenseCode207RI0200XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense12674MississippiProvider IdentifiersIDDescriptionIssuerID00018785DescriptionMedicaidIssuerUnlistedMississippi