# SOUTH CENTRAL REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SC Wound Care & Hyperbaric Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063742658
- **Authorized official:** MR. JAMES T CANIZARO (ASSOCIATE EXEC. DIRECTOR/CFO)
- **Authorized official phone:** (601) 399-6139

## Contact information

- **Practice address:** 1220 JEFFERSON ST, LAUREL, MS 39440-4355
- **Practice address phone:** (601) 426-4739
- **Practice address fax:** (601) 426-4739
- **Mailing address:** PO BOX 246, LAUREL, MS 39441-0246
- **Mailing address phone:** (601) 426-4739
- **Mailing address fax:** (601) 426-4724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2010
- **Last updated:** 01/05/2010