Quad Intermed Company LLC
NPI #1245013424 in Canton, Mississippi
Provider Information
- NPI Number
- 1245013424
- 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
- 112 SOUTHLAKE CIR
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046-5368
- Phone
- (601) 859-8550
Authorized Official
- Name
- WILLIAM M GRANTHAM, MD
- Title
- CEO
- Phone
- (601) 898-7530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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