Organization
JACKSON ASTHMA & ALLERGY CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA L PRICE (OFFICE MANAGER)
(601) 899-3450
Entity
Organization
Contact information
Practice address
5903 RIDGEWOOD ROAD, SUITE 430, JACKSON, MS 39211-3702
(601) 899-3450
(601) 899-3453
Mailing address
5903 RIDGEWOOD ROAD, SUITE 430, JACKSON, MS 39211-3702
(601) 899-3450
(601) 899-3453
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
06707
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014411
—
MS
Enumeration date
05/03/2007
Last updated
05/22/2008
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