Organization
INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Active
Other names
Newton Family and Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P LEE (COB)
(601) 849-6440
Entity
Organization
Contact information
Practice address
9427 EASTSIDE DRIVE EXT, SUITE A, NEWTON, MS 39345-8063
(601) 681-0330
(601) 635-3746
Mailing address
9427 EASTSIDE DRIVE EXT, SUITE A, NEWTON, MS 39345-8063
(601) 681-0330
(601) 635-3746
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
13-033
MS
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
05/26/2020
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