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Contact Information

MISSISSIPPI ASTHMA & ALLERGY CLINIC PA
1513 LAKELAND DR
STE 100
JACKSON, MS39216-4829
 Phone: 601-354-4836
 Fax: 601-354-2619
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for MISSISSIPPI ASTHMA ALLERGY CLINIC PA · (Female)

NPI # 1902882251
Status Active
Credentials
Entity Individual
Enumeration date 12/19/2005
Last updated 02/16/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Other 030001646 RR MEDICARE
  • MS Other 030002483 RR MEDICARE
  • MS Other 030003287 RR MEDICARE
  • MS Other P00236071 RR MEDICARE
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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