Organization
INDEPENDENT HEALTHCARE MANAGEMENT, INC
Active
Other names
Forest Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P LEE MD (COB)
(601) 469-4861
Entity
Organization
Contact information
Practice address
1 MEDICAL LN STE B, FOREST, MS 39074-4039
(601) 469-4861
Mailing address
100 PIONEER WAY, MAGEE, MS 39111-5501
(601) 849-6440
(600) 849-1332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
05/26/2020
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