NPI 1104303502 · live from the CMS NPI Registry
Ascentium Healthcare Resources I INC
Family Medicine in Magee, MS. National Provider Identifier 1104303502, active.
NPI record
| NPI | 1104303502 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 100 Pioneer Way, Magee, MS 39111 |
| Practice phone | 601-849-6440 |
| Enumerated | July 27, 2018 |
| Last updated | July 15, 2019 |
| Authorized official | John Lee, Cob |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.