Organization · NPI-2

First Intermed Corporation

Family Medicine · Vicksburg, MS

NPI number1861772105
StatusActive
Last updated in NPPESAug 18, 2011

Details

NPI
1861772105
Entity type
Organization (NPI-2)
Legal business name
First Intermed Corporation
Organization subpart
No
Enumeration date
Aug 18, 2011
Last updated
Aug 18, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Mea Medical Clinics (Doing Business As)

Practice location

4204 Clay Street
Vicksburg, MS 39183-0000

Phone 601-619-7717

Mailing address

308 Corporate Dr
Ridgeland, MS 39157-8803

Phone 601-898-7500

Authorized official

Sam Scott
Cfo
6018987525

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