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Organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Active
Organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Active
Other names
SOUTHWEST UROLOGY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLA ROWLEY (CEO)
(601) 249-1806
Entity
Organization
Contact information
Practice address
1015 DELAWARE AVE STE B, MCCOMB, MS 39648-3827
(601) 250-4344
(601) 250-4345
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 249-2701
(601) 249-2195
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06171732
—
MS
Enumeration date
08/21/2006
Last updated
07/14/2023
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