Independent Healthcare Management, Inc | |
9425 Eastside Drive Ext Ste B Newton MS 39345-8069 | |
(601) 683-0330 | |
(601) 635-3746 |
Full Name | Independent Healthcare Management, Inc |
---|---|
Speciality | Clinic/center |
Location | 9425 Eastside Drive Ext Ste B, Newton, Mississippi |
Authorized Official Name and Position | John P Lee (MEDICAL DIRECTOR) |
Authorized Official Contact | 6014694861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Independent Healthcare Management, Inc 100 Pioneer Way Magee MS 39111-5501 Ph: (601) 849-6440 | Independent Healthcare Management, Inc 9425 Eastside Drive Ext Ste B Newton MS 39345-8069 Ph: (601) 683-0330 |
NPI Number | 1275130601 |
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Provider Enumeration Date | 10/08/2020 |
Last Update Date | 10/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275130601 | NPI | - | NPPES |
13033 | Other | MS | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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