Organization
FIRST INTERMED CORPORATION
Active
Other names
MEA Medical Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA JORDAN (PHYSICIAN SERVICES COORDINATOR)
(601) 898-7535
Entity
Organization
Contact information
Practice address
1132 HIGHWAY 49 S, RICHLAND, MS 39218-9446
(601) 664-1620
(601) 664-1624
Mailing address
1132 HIGHWAY 49 S, RICHLAND, MS 39218-9446
(601) 664-1620
(601) 664-1624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015301
—
MS
01
—
CH7890
RAILROAD MEDICARE
MS
Enumeration date
07/10/2006
Last updated
02/01/2008
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