Organization
SOUTH CENTRAL CLINICS, INC
Active
Parent organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Other names
South Central General Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Authorized official
CHANCIE KREGER (DIRECTOR CLINIC SUPPORT)
(601) 399-6167
Entity
Organization
Contact information
Practice address
1002 JEFFERSON ST, SUITE 400, LAUREL, MS 39440-4350
(601) 649-7802
(601) 428-7841
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 425-7550
(601) 399-6281
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00186342
—
MS
Enumeration date
10/24/2006
Last updated
05/12/2025
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