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Contact Information

SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
215 MARION AVE
ATTN ICU
MCCOMB, MS39648
 Phone: 601-249-5500
 Fax: 601-249-1173
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER · (Female)

NPI Number 1083712350
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2006
Last updated 11/06/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 00088799
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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