Organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Active
Other names
LAWRENCE COUNTY FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLA ROWLEY (CEO)
(601) 249-1806
Entity
Organization
Contact information
Practice address
1167 E BROAD ST, MONTICELLO, MS 39654-7682
(601) 587-1433
(601) 587-1625
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 249-2701
(601) 249-2195
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06870336
—
MS
Enumeration date
05/08/2006
Last updated
11/06/2020
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