| NPI | 1083671895 |
|---|---|
| Doing Business As | ASTHMA & ALLERGY CENTER OF N. JACKSON |
| Entity Type | Organization |
| Authorized Contact | SHERYLL FLETCHER-VINCENT Officer 601-981-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2010-06-15 |