Organization
EAST MISSISSIPPI MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAZEE AMEIR AHMAD M.D. (OWNER)
(601) 917-0810
Entity
Organization
Contact information
Practice address
9425 EASTSIDE DRIVE EXT, SUIT A, NEWTON, MS 39345-8068
(601) 635-3333
(601) 653-3330
Mailing address
PO BOX 3189, MERIDIAN, MS 39303-3189
(601) 635-3333
(601) 635-3330
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
14494
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04278332
—
MS
Enumeration date
03/06/2013
Last updated
06/24/2013
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