Independent Healthcare Management, INC

NPI #1275130601 in Newton, Mississippi

Provider Information

NPI Number: 1275130601
Entity Type: Organization
Organization Name: Independent Healthcare Management, INC
Primary Specialty: Clinic/Center
Enumeration Date: Oct 8, 2020
Last Updated: Oct 8, 2020

Practice Location

Address: 9425 EASTSIDE DRIVE EXT STE B
City: Newton
State: Mississippi
ZIP Code: 39345-8069
Phone: (601) 683-0330

Authorized Official

Name: JOHN P LEE, MD
Title: MEDICAL DIRECTOR
Phone: (601) 469-4861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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