Organization
SOUTH CENTRAL CLINICS, INC
Active
Parent organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Other names
South Central Dermatology - Waynesboro
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Authorized official
JAMES T CANIZARO (VP OF FINANCE/CFO)
(601) 399-6139
Entity
Organization
Contact information
Practice address
920 MATTHEW DR STE 8, WAYNESBORO, MS 39367-2553
(601) 671-3618
(601) 671-3728
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 425-7550
(601) 399-6281
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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