Organization
QUAD INTERMED COMPANY LLC
Active
Other names
MEA Medical Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M GRANTHAM MD (CEO)
(601) 898-7530
Entity
Organization
Contact information
Practice address
342 GILCHRIST DR, PEARL, MS 39208-6671
(601) 939-0700
Mailing address
308 CORPORATE DR, RIDGELAND, MS 39157-8803
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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