Organization
SOUTHWEST MS REGIONAL MEDICAL CENTER
Active
Other names
CARDIOVASCULAR INSTITUTE OF MS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLA ROWLEY (CEO)
(601) 249-1806
Entity
Organization
Contact information
Practice address
1065 E BROAD ST, MONTICELLO, MS 39654-7703
(601) 587-1214
(601) 587-4716
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 249-1350
(601) 249-1339
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015786
—
MS
Enumeration date
09/27/2006
Last updated
04/13/2021
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