# NATCHEZ REGIONAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NATCHEZ REGIONAL MEDICAL CENTER
- **Other names:** Natchez Regional Clinic - OBGYN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891982435
- **Legal business name:** NATCHEZ REGIONAL MEDICAL CENTER
- **Authorized official:** CHARLES MOCK (CFO)
- **Authorized official phone:** (601) 443-2722

## Contact information

- **Practice address:** 46 SGT. S. PRENTISS DR., SUITE 201, NATCHEZ, MS 39120
- **Practice address phone:** (601) 442-3701
- **Practice address fax:** (601) 442-4785
- **Mailing address:** 46 SGT. S. PRENTISS DR., SUITE 201, NATCHEZ, MS 39120
- **Mailing address phone:** (601) 442-3701
- **Mailing address fax:** (601) 442-4785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 12/03/2009