| 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 |
|---|---|
| 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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