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Organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Active
Organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Active
Parent organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Other names
Southwest Urology Clinic-Monticello
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Authorized official
CHARLA ROWLEY (CEO)
(601) 249-1806
Entity
Organization
Contact information
Practice address
1065 E BROAD ST, MONTICELLO, MS 39654-7703
(601) 250-4344
(601) 250-4345
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
(601) 250-4367
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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