Organization
SINUS AND ALLERGY INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER R DAVIS (OFFICE MANAGER)
(662) 769-5006
Entity
Organization
Contact information
Practice address
1115 HIGHLAND COLONY PARKWAY, SUITE C, RIDGELAND, MS 39157
(662) 769-5006
Mailing address
PO BOX 3114, RIDGELAND, MS 39158-3114
(662) 769-5006
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
18626
MS
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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