MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA

RIDGELAND, MS
NPI1801094016
Entity TypeOrganization
Authorized ContactDAVID L MOAK
Practice Administrator
601-354-4836
Organization Subpart ?No
Primary Taxonomy207K00000X Allergy & Immunology
Enumeration Date2007-07-10
Last Update Date2010-02-16
Business Address
MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA
680D HWY 51 NORTH
RIDGELAND, MS 39157
Phone number: 601-898-1877
Mailing Address
MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA
1513 LAKELAND DR SUITE 101
JACKSON, MS 39216-4829
Phone number: 601-354-4836