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Ima At Home LLC

Internal Medicine in Oxford, MS. Organization (NPI-2).

NPI number1477088409
StatusActive
Last updated in NPPESApr 27, 2017

Details

NPI
1477088409
Entity type
Organization (NPI-2)
Legal business name
Ima At Home LLC
Organization subpart
No
Enumeration date
Apr 27, 2017
Last updated
Apr 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

551 Azalea Dr
Oxford, MS 38655-7900

Phone 662-234-0332 · Fax 662-234-2891

Mailing address

551 Azalea Dr
Oxford, MS 38655-7900

Phone 662-234-0332 · Fax 662-234-2891

Authorized official

Jeffrey W Dennis
Mbr
6622340332

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