Organization
MAGNOLIA ALLERGY AND SKIN CARE
Active
Other names
Magnolia Allergy Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAN ZHOU MD PHD (PHYSICIAN)
(601) 519-9562
Entity
Organization
Contact information
Practice address
102 E LEAKE ST, CLINTON, MS 39056-4204
(601) 519-9562
Mailing address
124 HEIGHTS DR, CLINTON, MS 39056-6602
(601) 519-9562
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
22223
MS
Other
Enumeration date
04/04/2018
Last updated
01/24/2024
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