| Quad Intermed Company Llc | |
|
5005 Old Canton Rd Jackson MS 39211-5421 | |
| (601) 957-3333 | |
| Not Available |
| Full Name | Quad Intermed Company Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 5005 Old Canton Rd, Jackson, Mississippi |
| Authorized Official Name and Position | William M Grantham (CEO) |
| 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: () - | Quad Intermed Company Llc 5005 Old Canton Rd Jackson MS 39211-5421 Ph: (601) 957-3333 |
| NPI Number | 1013790294 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013790294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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