First Intermed Corporation

NPI #1326170218 in Canton, Mississippi

Provider Information

NPI Number: 1326170218
Entity Type: Organization
Organization Name: First Intermed Corporation
Primary Specialty: Family Medicine
Enumeration Date: Mar 9, 2007
Last Updated: Feb 12, 2008

Practice Location

Address: 112 SOUTH LAKE CIRCLE
City: Canton
State: Mississippi
ZIP Code: 39046
Phone: (601) 859-8550

Authorized Official

Name: SAM SCOTT
Title: CFO
Phone: (601) 898-7525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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