Organization
ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRA CHRISTINA ALLEN (OFFICE MANAGER)
(601) 268-5051
Entity
Organization
Contact information
Practice address
109 MILLSAPS DR STE C, HATTIESBURG, MS 39402-1587
(601) 268-5051
(601) 268-5054
Mailing address
109 MILLSAPS DR STE C, HATTIESBURG, MS 39402-1587
(601) 268-5051
(601) 268-5054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MS
Other
Enumeration date
11/02/2006
Last updated
04/30/2013
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