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Organization
FIRST INTERMED CORPORATION
Active
Organization
FIRST INTERMED CORPORATION
Active
Other names
MEA Medical Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
SAM SCOTT (CHIEF FINANCIAL OFFICER)
(601) 898-7525
Entity
Organization
Contact information
Practice address
106 LAKE VISTA PLACE, BRANDON, MS 39047-0000
(601) 919-2924
Mailing address
308 CORPORATE DR, RIDGELAND, MS 39157-8803
(601) 898-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/15/2010
Last updated
12/30/2010
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