Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Other names
SC Wound Care & Hyperbaric Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES T CANIZARO (ASSOCIATE EXEC. DIRECTOR/CFO)
(601) 399-6139
Entity
Organization
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4739
(601) 426-4739
Mailing address
PO BOX 246, LAUREL, MS 39441-0246
(601) 426-4739
(601) 426-4724
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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