# EAST MISSISSIPPI MEDICAL CLINIC, PLLC

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

## Provider details

- **NPI number:** 1811265622
- **Authorized official:** DR. RAZEE AMEIR AHMAD M.D. (OWNER)
- **Authorized official phone:** (601) 635-3333

## Contact information

- **Practice address:** 9425 EASTSIDE DRIVE EXT, NEWTON, MS 39345-8068
- **Practice address phone:** (601) 635-3333
- **Practice address fax:** (601) 635-3330
- **Mailing address:** 9425 EASTSIDE DRIVE EXT, NEWTON, MS 39345-8068
- **Mailing address phone:** (601) 635-3333
- **Mailing address fax:** (601) 635-3330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 14494 | MS | Yes |

## Other

- **Enumeration date:** 12/07/2011
- **Last updated:** 12/07/2011