First Intermed Corporation
NPI #1669406658 in Jackson, Mississippi
Provider Information
- NPI Number
- 1669406658
- Entity Type
- Organization
- Organization Name
- First Intermed Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Mar 30, 2011
Practice Location
- Address
- 5606 OLD CANTON RD
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39211-4217
- Phone
- (601) 957-3333
Authorized Official
- Name
- SAM SCOTT
- Title
- PHYSICIAN SERVICES COORDINATOR
- Phone
- (601) 898-7525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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