Quad Intermed Company LLC

NPI #1891578068 in Brandon, Mississippi

Provider Information

NPI Number: 1891578068
Entity Type: Organization
Organization Name: Quad Intermed Company LLC
Primary Specialty: Clinic/Center
Enumeration Date: Aug 14, 2023
Last Updated: Aug 14, 2023

Practice Location

Address: 106 LAKE VISTA PL
City: Brandon
State: Mississippi
ZIP Code: 39047-6384
Phone: (601) 919-2924

Authorized Official

Name: WILLIAM M GRANTHAM, MD
Title: CEO
Phone: (601) 898-7530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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