NPI 1093403065

Quad Intermed Company LLC

Organisation Clinic/Center Yazoo City, MS

Practice location

Address: 307 E Fifteenth St, Yazoo City, MS 39194-2631
Phone: (662) 746-8530
Mailing address: 308 Corporate Dr, Ridgeland, MS 39157-8803

Authorised official

Name: William Grantham
Title: Ceo
Phone: (601) 898-7500

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1093403065
Entity type: Organization
NPI issued: 27 Apr 2023
Record last updated: 5 May 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.