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Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Other names
South Central Clinic at Wayne Farms
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T CANIZARO (VICE PRESIDENT-CFO)
(601) 399-6204
Entity
Organization
Contact information
Practice address
525 WAYNE DRIVE, LAUREL, MS 39440
(601) 399-7020
(601) 399-6281
Mailing address
525 WAYNE DR., LAUREL, MS 39440
(601) 399-7020
(601) 399-6281
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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