# ASCENTIUM HEALTHCARE RESOURCES I INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104303502
- **Authorized official:** JOHN LEE MD (COB)
- **Authorized official phone:** (601) 849-6440

## Contact information

- **Practice address:** 100 PIONEER WAY, MAGEE, MS 39111-5501
- **Practice address phone:** (601) 849-6440
- **Practice address fax:** (601) 849-1332
- **Mailing address:** 100 PIONEER WAY, MAGEE, MS 39111-5501
- **Mailing address phone:** (601) 849-6440
- **Mailing address fax:** (601) 849-1332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2018
- **Last updated:** 07/15/2019