MAGNOLIA ALLERGY CLINIC LLC (NPI# 1225534530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225534530 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA ALLERGY CLINIC LLC |
| Practice Address |
402 Cynthia St Ste E Clinton MS 39056 |
| Mailing Address |
124 Heights Dr Clinton MS 39056-6602 |
| Practice Telephone | 6015199562 |
| Mailing Telephone | 6015199562 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-08-31 |
| Authorized Official Name | DR. LAN ZHOU (PHYSICIAN) |
| Authorized Official Telephone | 6015199562 |
| Authorized Official Credential | MD PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
22223 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
402 CYNTHIA ST STE E |
| City | CLINTON |
| State | MS |
| Zip Code | 39056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| 1124241245 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 106 Clinton Parkway, Clinton, MS 39056 | 2007-04-10 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932299633 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 700 S Main St, Clinton, IN 47842-2420 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609810894 | Gailen Daugherty Marshall | Internal Medicine | 878 Lakeland Dr, Jackson, MS 39216-4500 | 2006-06-16 |
| 1225072838 | Richard D Deshazo | Internal Medicine | 878 Lakeland Dr, Lb-building, Jackson, MS 39216-4500 | 2006-06-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.