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Contact Information

SOUTH CENTRAL REGIONAL MEDICAL CENTER
234 S 12TH AVE
LAUREL, MS39440-4325
 Phone: 601-649-3520
 Fax: 601-649-7899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SOUTH CENTRAL REGIONAL MEDICAL CENTER · (Female)

NPI Number 1821342379
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2012
Last updated 11/06/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 08705378
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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