Organization
IMA MEDICAL HOME TEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON D HOBBS M.D. (PRESIDENT)
(662) 234-0332
Entity
Organization
Contact information
Practice address
551 AZALEA DR, OXFORD, MS 38655-7900
(662) 234-0332
Mailing address
1515 HERITAGE DRIVE, SUITE 110, MCKINNEY, TX 75069-3379
(855) 860-2109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
07454
MS
207R00000X
Internal Medicine Physician
13540
MS
207R00000X
Internal Medicine Physician
13892
MS
Other
Enumeration date
08/01/2014
Last updated
01/02/2015
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