Organization
INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Active
Other names
35 South Family Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P. LEE MD (CHAIRMAN OF THE BOARD)
(601) 469-4151
Entity
Organization
Contact information
Practice address
342 MAGNOLIA DR, RALEIGH, MS 39153-6012
(601) 200-6809
Mailing address
PO BOX D, FOREST, MS 39074-0558
(601) 469-4151
(601) 469-9927
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
12/16/2024
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