Active NPI
Magnolia Allergy and Skin Care
- Allergy & Immunology (Internal Medicine) Physician
- Clinton, MS
National Provider Identifier
1225534530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- 22223
- Legal business name
- MAGNOLIA ALLERGY AND SKIN CARE
- Practice address
- 102 E Leake St
Clinton, MS 39056-4204 - Phone
- (601) 519-9562
- NPI assigned
- Apr 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lan Zhou, MD PHD
- Title
- Physician
- Phone
- (601) 519-9562
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 22223 | MS | Primary |
Addresses
Primary practice location
102 E Leake St
Clinton, MS 39056-4204
Mailing address
124 Heights Dr
Clinton, MS 39056-6602
Phone (601) 519-9562
Other names 1
- Magnolia Allergy Clinic LLC
National Provider Directory
National Provider DirectoryLocations
402 Cynthia St
Ste E
Clinton, MS 39056
Phone (601) 460-1693
102 E Leake St
Clinton, MS 39056
Phone (601) 519-9562
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1881953693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706054400000",
"number": "1225534530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 HEIGHTS DR",
"city": "CLINTON",
"state": "MS",
"postal_code": "390566602",
"telephone_number": "601-519-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E LEAKE ST",
"city": "CLINTON",
"state": "MS",
"postal_code": "390564204",
"telephone_number": "601-519-9562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA ALLERGY AND SKIN CARE",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-04",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A",
"authorized_official_last_name": "ZHOU",
"authorized_official_first_name": "LAN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "601-519-9562",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD PHD"
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "MS",
"license": "22223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Magnolia Allergy Clinic LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.