Organization
FIRST INTERMED CORPORATION
Active
Other names
MEA Medical Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
SAM SCOTT (CFO)
(601) 898-7525
Entity
Organization
Contact information
Practice address
323 HIGHWAY 51, RIDGELAND, MS 39157
(601) 898-9150
(601) 898-9155
Mailing address
323 HIGHWAY 51, RIDGELAND, MS 39157
(601) 898-9150
(601) 898-9155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015301
—
MS
01
—
CH7897
RAILROAD MEDICARE
MS
Enumeration date
07/11/2006
Last updated
02/12/2008
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