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Organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Active
Organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Active
Parent organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Other names
Gastroenterology Associates-Monticello
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Authorized official
CHARLA ROWLEY (CEO)
(601) 249-1806
Entity
Organization
Contact information
Practice address
1065 E BROAD ST, MONTICELLO, MS 39654-7703
(601) 249-4710
(601) 249-4716
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 249-2701
(601) 249-2195
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
11/06/2020
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