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
4204 CLAY STREET, VICKSBURG, MS 39183-0000
(601) 619-7717
Mailing address
308 CORPORATE DR, RIDGELAND, MS 39157-8803
(601) 898-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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