NPI 1013790294

Quad Intermed Company LLC

Organisation Clinic/Center Jackson, MS

Practice location

Address: 5005 Old Canton Rd, Jackson, MS 39211-5421
Phone: (601) 957-3333
Mailing address: 308 Corporate Dr, Ridgeland, MS 39157-8803

Authorised official

Name: William M Grantham
Title: Ceo
Phone: (601) 898-7530

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1013790294
Entity type: Organization
NPI issued: 14 Aug 2023
Record last updated: 14 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.