# INDEPENDENT HEALTHCARE MANAGEMENT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 505 Women's Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225720345
- **Authorized official:** JOHN P LEE MD (CHAIRMAN OF THE BOARD)
- **Authorized official phone:** (601) 469-4151

## Contact information

- **Practice address:** 505 AIRPORT RD STE D, FOREST, MS 39074-4033
- **Practice address phone:** (601) 333-0986
- **Practice address fax:** (601) 333-0987
- **Mailing address:** PO BOX D, FOREST, MS 39074-0558
- **Mailing address phone:** (601) 469-4151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2023
- **Last updated:** 06/06/2023