Ascentium Healthcare Resources I Inc

Organization Active NPI Family Medicine Physician · Magee, MS

NPI 1104303502 · NPPES record last updated Jul 15, 2019

Key facts

NPI
1104303502
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ASCENTIUM HEALTHCARE RESOURCES I INC
Practice address
100 Pioneer Way
Magee, MS 39111-5501
Phone
(601) 849-6440
Fax
(601) 849-1332
NPI assigned
Jul 27, 2018
Organization subpart
No

Authorized official

Name
John Lee, MD
Title
Cob
Phone
(601) 849-6440

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

100 Pioneer Way
Magee, MS 39111-5501

Mailing address

100 Pioneer Way
Magee, MS 39111-5501
Phone (601) 849-6440

Other providers in Magee, MS

All providers in Magee, MS · Family Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.