First Intermed Corporation
NPI #1407880404 in Laurel, Mississippi
Provider Information
- NPI Number
- 1407880404
- Entity Type
- Organization
- Organization Name
- First Intermed Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Feb 12, 2008
Practice Location
- Address
- 1515 JEFFERSON ST
- City
- Laurel
- State
- Mississippi
- ZIP Code
- 39440-4244
- Phone
- (601) 425-4893
Authorized Official
- Name
- SAM SCOTT
- Title
- CFO
- Phone
- (601) 898-7535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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