First Intermed Corporation

NPI #1346274354 in Richland, Mississippi

Provider Information

NPI Number
1346274354
Entity Type
Organization
Organization Name
First Intermed Corporation
Primary Specialty
Family Medicine
Enumeration Date
Jul 10, 2006
Last Updated
Feb 1, 2008

Practice Location

Address
1132 HIGHWAY 49 S
ZIP Code
39218-9446
Phone
(601) 664-1620

Authorized Official

Name
TONYA JORDAN
Title
PHYSICIAN SERVICES COORDINATOR
Phone
(601) 898-7535

Specialties & Taxonomy Codes

Specialty
Family Medicine

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