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MISSISSIPPI ASTHMA & ALLERGY CLINIC PA NPI 1902882251


NPI Information

NPI: 1902882251
Provider Name: MISSISSIPPI ASTHMA & ALLERGY CLINIC PA
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
1513 LAKELAND DR
STE 100
JACKSON, MS
ZIP 39216
Phone: (601) 354-4836
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MISSISSIPPI ASTHMA & ALLERGY CLINIC PA is an allergy immunology in Jackson, MS. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. MISSISSIPPI ASTHMA & ALLERGY CLINIC PA NPI is 1902882251. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1513 LAKELAND DR
STE 100
JACKSON, MS
ZIP 39216-829
Phone: (601) 354-4836
Fax: (601) 354-2619

The provider's authorized official is David L Moak .
The authorized official title is Practice Administrator and has the following contact phone number (601) 354-4836.

The enumeration date for this NPI number is 12/19/2005 and was last updated on 2/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1030001646OTHERMISSISSIPPIRR MEDICARE
2030000016MEDICARE PIN
3P00236071OTHERMISSISSIPPIRR MEDICARE
4030000037MEDICARE PIN
5030002483OTHERMISSISSIPPIRR MEDICARE
6030003287OTHERMISSISSIPPIRR MEDICARE
7030000004MEDICARE PIN
8030000017MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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