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Organization
QUAD INTERMED COMPANY LLC
Active
Organization
QUAD INTERMED COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BUIE (DIRECTOR)
(601) 898-7530
Entity
Organization
Contact information
Practice address
4204 CLAY ST, VICKSBURG, MS 39183-3438
(601) 619-7717
Mailing address
308 CORPORATE DR, RIDGELAND, MS 39157-8803
(601) 898-7530
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/27/2023
Last updated
06/02/2023
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