Quad Intermed Company LLC
NPI #1174306898 in Madison, Mississippi
Provider Information
- NPI Number
- 1174306898
- Entity Type
- Organization
- Organization Name
- Quad Intermed Company LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 16, 2023
- Last Updated
- Aug 16, 2023
Practice Location
- Address
- 804 HIGHWAY 51
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-8404
- Phone
- (601) 605-6146
Authorized Official
- Name
- WILLIAM M GRANTHAM, MD
- Title
- CEO
- Phone
- (601) 898-7530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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