# FIRST INTERMED CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MEA Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326170218
- **Authorized official:** SAM SCOTT (CFO)
- **Authorized official phone:** (601) 898-7525

## Contact information

- **Practice address:** 112 SOUTH LAKE CIRCLE, CANTON, MS 39046
- **Practice address phone:** (601) 859-8550
- **Practice address fax:** (601) 859-8556
- **Mailing address:** 112 SOUTH LAKE CIRCLE, CANTON, MS 39046
- **Mailing address phone:** (601) 859-8550
- **Mailing address fax:** (601) 859-8556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 02/12/2008