| Quad Intermed Company Llc | |
|
4204 Clay St Vicksburg MS 39183-3438 | |
| (601) 619-7717 | |
| Not Available |
| Full Name | Quad Intermed Company Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4204 Clay St, Vicksburg, Mississippi |
| Authorized Official Name and Position | Ashley Buie (DIRECTOR) |
| Authorized Official Contact | 6018987530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quad Intermed Company Llc 308 Corporate Dr Ridgeland MS 39157-8803 Ph: (601) 898-7530 | Quad Intermed Company Llc 4204 Clay St Vicksburg MS 39183-3438 Ph: (601) 619-7717 |
| NPI Number | 1205524261 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 06/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205524261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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