Quad Intermed Company LLC

NPI #1205619483 in Pearl, Mississippi

Provider Information

NPI Number
1205619483
Entity Type
Organization
Organization Name
Quad Intermed Company LLC
Primary Specialty
Clinic/Center
Enumeration Date
Aug 14, 2023
Last Updated
Aug 14, 2023

Practice Location

Address
342 GILCHRIST DR
City
Pearl
ZIP Code
39208-6671
Phone
(601) 939-0700

Authorized Official

Name
WILLIAM M GRANTHAM, MD
Title
CEO
Phone
(601) 898-7530

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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