East Mississippi Medical Clinic, PLLC

Organization Active NPI Internal Medicine Physician · Newton, MS

NPI 1811265622 · NPPES record last updated Dec 7, 2011

Key facts

NPI
1811265622
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
14494 (MS)
Legal business name
EAST MISSISSIPPI MEDICAL CLINIC, PLLC
Practice address
9425 Eastside Drive Ext
Newton, MS 39345-8068
Phone
(601) 635-3333
Fax
(601) 635-3330
NPI assigned
Dec 7, 2011
Organization subpart
No

Authorized official

Name
Dr. Razee Ameir Ahmad, M.D.
Title
Owner
Phone
(601) 635-3333

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

9425 Eastside Drive Ext
Newton, MS 39345
Phone (601) 635-3333

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X 14494 MS Yes

Addresses

Primary practice location

9425 Eastside Drive Ext
Newton, MS 39345-8068

Mailing address

9425 Eastside Drive Ext
Newton, MS 39345-8068
Phone (601) 635-3333

Other providers in Newton, MS

All providers in Newton, MS · Internal Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.