Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Other names
South Central Clinic at Wayne Farms
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T CANIZARO (VICE PRESIDENT-CFO)
(601) 399-6204
Entity
Organization
Contact information
Practice address
525 WAYNE DRIVE, LAUREL, MS 39440
(601) 399-7020
(601) 399-6281
Mailing address
525 WAYNE DR., LAUREL, MS 39440
(601) 399-7020
(601) 399-6281
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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