Organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Active
Other names
CARDIOVASCULAR INSTITUTE OF MISSISSIPPI
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLA ROWLEY (CEO)
(601) 249-1806
Entity
Organization
Contact information
Practice address
303 MARION AVE, MCCOMB, MS 39648-2707
(601) 249-1350
(601) 249-1339
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 249-2701
(601) 249-2195
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015786
—
MS
Enumeration date
05/10/2006
Last updated
11/06/2020
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