Organization
INDEPENDENT HEALTHCARE MANAGEMENT, INC.
Active
Other names
Main Street Medical Clinic of Morton
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P LEE MD (CHAIRMAN OF THE BOARD)
(601) 469-4861
Entity
Organization
Contact information
Practice address
347 S 4TH ST, MORTON, MS 39117-3407
(601) 732-1524
(601) 732-1572
Mailing address
347 S 4TH ST, MORTON, MS 39117-3407
(601) 732-1524
(601) 732-1572
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/26/2020
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