National Provider Identifier Database

SOUTH CENTRAL CLINICS INC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

SOUTH CENTRAL CLINICS, INC.
1440 JEFFERSON ST
SUITE B
LAUREL, MS39440-4243
Phone: 601-649-6213
Fax: 601-649-6217
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for SOUTH CENTRAL CLINICS, INC.

NPI Number 1619346863
Legal business name
LBN
SOUTH CENTRAL CLINICS, INC.
Authorized official JAMES CANIZARO - (CFO/VP OF FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 09/17/2015
Last updated 01/19/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 01880574

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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