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Organization

INDEPENDENT HEALTHCARE MANAGEMENT, INC.

Active
Other names
Community Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN P LEE (CHAIRMAN OF THE BOARD)
(601) 849-6440
Entity
Organization

Contact information

Practice address
1123 HIGHWAY 35 S STE 3, FOREST, MS 39074-8829
(601) 469-4771
Mailing address
1123 HWY. 35 SOUTH, FOREST, MS 39074

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10830
MS
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
11/01/2016
Last updated
05/26/2020
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