| Ima At Home Llc | |
|
551 Azalea Dr Oxford MS 38655-7900 | |
| (662) 234-0332 | |
| (662) 234-2891 |
| Full Name | Ima At Home Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 551 Azalea Dr, Oxford, Mississippi |
| Authorized Official Name and Position | Jeffrey W Dennis (MBR) |
| Authorized Official Contact | 6622340332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ima At Home Llc 551 Azalea Dr Oxford MS 38655-7900 Ph: (662) 234-0332 | Ima At Home Llc 551 Azalea Dr Oxford MS 38655-7900 Ph: (662) 234-0332 |
| NPI Number | 1477088409 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 04/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477088409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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