# SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SMRMC-INTERNAL MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689624090
- **Authorized official:** MR. DAVID SINCLAIR (DIRECTOR)
- **Authorized official phone:** (601) 249-2701

## Contact information

- **Practice address:** 300 MARION AVE, SUITE C, MCCOMB, MS 39648-2707
- **Practice address phone:** (601) 249-1350
- **Practice address fax:** (601) 249-2226
- **Mailing address:** 300 MARION AVE, SUITE C, MCCOMB, MS 39648-2707
- **Mailing address phone:** (601) 249-1350
- **Mailing address fax:** (601) 249-2226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 10/12/2007