NPI 1174306898

Quad Intermed Company LLC

Organisation Clinic/Center Madison, MS

Practice location

Address: 804 Highway 51, Madison, MS 39110-8404
Phone: (601) 605-6146
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: 1174306898
Entity type: Organization
NPI issued: 16 Aug 2023
Record last updated: 16 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.