NPI 1275130601

Independent Healthcare Management, INC

Organisation Clinic/Center Newton, MS

Practice location

Address: 9425 Eastside Drive Ext STE B, Newton, MS 39345-8069
Phone: (601) 683-0330
Fax: (601) 635-3746
Mailing address: 100 Pioneer Way, Magee, MS 39111-5501

Authorised official

Name: John P Lee
Title: Medical Director
Phone: (601) 469-4861

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1275130601
Entity type: Organization
NPI issued: 8 Oct 2020
Record last updated: 8 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.