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Organization
ASCENTIUM HEALTHCARE RESOURCES I INC
Active
Organization
ASCENTIUM HEALTHCARE RESOURCES I INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LEE MD (COB)
(601) 849-6440
Entity
Organization
Contact information
Practice address
100 PIONEER WAY, MAGEE, MS 39111-5501
(601) 849-6440
(601) 849-1332
Mailing address
100 PIONEER WAY, MAGEE, MS 39111-5501
(601) 849-6440
(601) 849-1332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/15/2019
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