MAGNOLIA ALLERGY AND SKIN CARE – NPI #1225534530
Internal Medicine

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.

MAGNOLIA ALLERGY AND SKIN CARE is a provider located in CLINTON, MS. NPPES has assigned the NPI number 1225534530 to MAGNOLIA ALLERGY AND SKIN CARE on April 04, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is MAGNOLIA ALLERGY CLINIC LLC. The primary taxonomy selected by this provider is 207RA0201X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Allergy & Immunology

The NPI profile was previously updated about 2 years ago on Jan 24, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAGNOLIA ALLERGY AND SKIN CARE below.

NPI Profile for
MAGNOLIA ALLERGY AND SKIN CARE

NPI Number
1225534530
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAGNOLIA ALLERGY AND SKIN CARE
Former Legal Business Name: MAGNOLIA ALLERGY CLINIC LLC
Primary location
102 E LEAKE ST
CLINTON, MS 39056-4204
Phone: (601) 519-9562 Fax:
Mailing address
124 HEIGHTS DR
CLINTON, MS 39056-6602
Phone: (601) 519-9562 Fax:
Organization Subpart
No
Authorized Official
LAN ZHOU
PHYSICIAN
Phone: (601) 519-9562
Updated
Certification Date
Jan 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0201X
- Internal Medicine / Allergy & Immunology (Primary)
MS 22223

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.