First Intermed Corporation

NPI #1952604811 in Brandon, Mississippi

Provider Information

NPI Number: 1952604811
Entity Type: Organization
Organization Name: First Intermed Corporation
Primary Specialty: Family Medicine
Enumeration Date: Dec 15, 2010
Last Updated: Dec 30, 2010

Practice Location

Address: 106 LAKE VISTA PLACE
City: Brandon
State: Mississippi
ZIP Code: 39047-0000
Phone: (601) 919-2924

Authorized Official

Name: SAM SCOTT
Title: CHIEF FINANCIAL OFFICER
Phone: (601) 898-7525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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