Organization
INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Active
Other names
Total Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S MCNULTY III (OWNER/CEO)
(601) 849-6440
Entity
Organization
Contact information
Practice address
526 DEERFIELD DR, SUITE C, FOREST, MS 39074-6005
(601) 469-0291
(601) 469-0347
Mailing address
PO BOX 1100, MAGEE, MS 39111-1100
(601) 849-6440
(601) 849-6443
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2008
Last updated
06/22/2015
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