| Independent Healthcare Management, Inc. | |
|
342 Magnolia Dr Raleigh MS 39153-6012 | |
| (601) 200-6809 | |
| Not Available |
| Full Name | Independent Healthcare Management, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 342 Magnolia Dr, Raleigh, Mississippi |
| Authorized Official Name and Position | John P. Lee (CHAIRMAN OF THE BOARD) |
| Authorized Official Contact | 6014694151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Healthcare Management, Inc. Po Box D Forest MS 39074-0558 Ph: (601) 469-4151 | Independent Healthcare Management, Inc. 342 Magnolia Dr Raleigh MS 39153-6012 Ph: (601) 200-6809 |
| NPI Number | 1871272724 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871272724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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