OrganizationActive
Mississippi Asthma and Allergy Clinic PA
NPI 1801094016 · Allergy & Immunology Physician · Ridgeland, MS
Provider details
- NPI number
- 1801094016
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Moak, Practice Administrator(601) 354-4836
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
680d Hwy 51 North
Ridgeland, MS 39157
Phone: (601) 898-1877
Fax: (601) 898-1884
Approximate (ZIP-level) locationGet directions
Mailing address
1513 Lakeland Dr
Jackson, MS 39216-4829
Registry dates
- Enumerated
- 2007-07-10
- Last updated
- 2010-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.