# SOUTH CENTRAL CLINICS, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH CENTRAL REGIONAL MEDICAL CENTER
- **Other names:** Ellisville Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801226287
- **Legal business name:** SOUTH CENTRAL REGIONAL MEDICAL CENTER
- **Authorized official:** CHANCIE KREGER (DIRECTOR)
- **Authorized official phone:** (601) 399-6152

## Contact information

- **Practice address:** 1203 AVENUE B, ELLISVILLE, MS 39437-2080
- **Practice address phone:** (601) 477-8553
- **Practice address fax:** (601) 477-9158
- **Mailing address:** PO BOX 247, LAUREL, MS 39441-0247
- **Mailing address phone:** (601) 425-7550
- **Mailing address fax:** (601) 399-6281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2013
- **Last updated:** 03/13/2026