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Contact Information

DELTA ASTHMA & ALLERGY
2335 HIGHWAY 1 S
GREENVILLE, MS38701-8337
 Phone: 662-378-2762
 Fax: 662-378-9573
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for DELTA ASTHMA ALLERGY · (Female)

NPI # 1841491404
Status Active
Credentials
Entity Individual
Enumeration date 05/30/2007
Last updated 07/01/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 12482
  • MS Medicaid 09015689
  • MS Other 587763099B BLUE CROSS OF MS
  • MS Other 587763099 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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