Organization
EAST MISSISSIPPI MEDICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAZEE AMEIR AHMAD M.D. (OWNER)
(601) 635-3333
Entity
Organization
Contact information
Practice address
9425 EASTSIDE DRIVE EXT, NEWTON, MS 39345-8068
(601) 635-3333
(601) 635-3330
Mailing address
9425 EASTSIDE DRIVE EXT, NEWTON, MS 39345-8068
(601) 635-3333
(601) 635-3330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14494
MS
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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