First Intermed Corporation
NPI #1861772105 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1861772105
- Entity Type
- Organization
- Organization Name
- First Intermed Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 18, 2011
- Last Updated
- Aug 18, 2011
Practice Location
- Address
- 4204 CLAY STREET
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39183-0000
- Phone
- (601) 619-7717
Authorized Official
- Name
- SAM SCOTT
- Title
- CFO
- Phone
- (601) 898-7525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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