Organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Active
Other names
Intensive Care Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLA ROWLEY (CEO)
(601) 249-1808
Entity
Organization
Contact information
Practice address
215 MARION AVE, ATTN ICU, MCCOMB, MS 39648
(601) 249-5500
(601) 249-1173
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 249-2701
(601) 249-2195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00088799
—
MS
Enumeration date
09/20/2006
Last updated
11/06/2020
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