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
—
—
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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