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Organization
INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Active
Organization
INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Active
Other names
Forest Orthopedics and Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LEE MD (COB)
(601) 469-4861
Entity
Organization
Contact information
Practice address
516 AIRPORT RD, FOREST, MS 39074-4032
(601) 469-4151
Mailing address
360 SIMPSON HIGHWAY 149 STE 140, MAGEE, MS 39111-3840
(601) 849-6440
(601) 849-1332
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-033
STATE LICENSE
MS
Enumeration date
06/15/2022
Last updated
06/15/2022
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