# SOUTH CENTRAL REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH CENTRAL REGIONAL MEDICAL CENTER
- **Other names:** South Central Internal Medicine Residency Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942093554
- **Legal business name:** SOUTH CENTRAL REGIONAL MEDICAL CENTER
- **Authorized official:** STEPHEN EAST (CFO)
- **Authorized official phone:** (601) 399-6144

## Contact information

- **Practice address:** 1203 JEFFERSON ST, LAUREL, MS 39440-4354
- **Practice address phone:** (601) 426-4795
- **Practice address fax:** (601) 399-6254
- **Mailing address:** PO BOX 607, LAUREL, MS 39441-0607
- **Mailing address phone:** (601) 426-4795
- **Mailing address fax:** (601) 399-6254

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2025
- **Last updated:** 07/11/2025