Organization

Quad Intermed Company Llc

Clinic/Center in Vicksburg, MS(View on Map)

Legal Business Name

Quad Intermed Company Llc

NPI Number

1205524261

NPI Type

Organization

Enumeration Date

04/27/2023

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

308 CORPORATE DR
4204 CLAY ST

City

Ridgeland
Vicksburg

State

MS
MS

Postal Code

39157-8803
39183-3438

Country

US
US

Telephone Number

(601) 898-7530
(601) 619-7717

Authorized Official

Name

Ashley Buie

Title or Position

DIRECTOR

Telephone Number

(601) 898-7530

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/02/2023

Provider Address

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