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Organization

SOUTH CENTRAL REGIONAL MEDICAL CENTER

Active
Parent organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Other names
South Central Reg Med Ctr-Chemo
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Authorized official
BRITTANY HASBARGEN (DIRECTOR)
(601) 399-6105
Entity
Organization

Contact information

Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 518-7054
(601) 399-6254
Mailing address
PO BOX 607, LAUREL, MS 39441-0607
(601) 399-6103

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07579791
MS
Enumeration date
10/28/2019
Last updated
05/20/2024
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