Organization
INDEPENDENT HEALTHCARE MANAGEMENT INC
Active
Other names
149 Pediatric and Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P LEE MD (CHAIRMAN OF THE BOARD)
(601) 469-4151
Entity
Organization
Contact information
Practice address
376 SIMPSON HIGHWAY 149 STE 300, MAGEE, MS 39111-3569
(601) 849-6440
(601) 849-1332
Mailing address
PO BOX D, FOREST, MS 39074-0558
(601) 469-4151
(601) 469-9927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
10/06/2022
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