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Organization
SOUTH CENTRAL CLINICS, INC
Active
Organization
SOUTH CENTRAL CLINICS, INC
Active
Parent organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Other names
South Central Pain Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Authorized official
MONICA MORROW (DIRECTOR OF CLINIC SUPPORT)
(601) 399-6167
Entity
Organization
Contact information
Practice address
1002 JEFFERSON ST, SUITE 300, LAUREL, MS 39440-4306
(601) 649-1013
(601) 426-5102
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 425-7550
(601) 399-6281
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07078300
—
MS
Enumeration date
07/14/2014
Last updated
04/22/2021
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