Organization
SOUTH CENTRAL CLINICS, INC
Active
Parent organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Other names
Laurel Pediatric and Adolescent Clinic, South Central Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Authorized official
MONICA MORROW (DIRECTOR CLINIC SUPPORT)
(601) 399-6167
Entity
Organization
Contact information
Practice address
1002 JEFFERSON STREET, SUITE 200, LAUREL, MS 39440
(601) 649-3520
(601) 649-7899
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 649-3520
(601) 649-7899
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08705378
—
MS
Enumeration date
06/29/2006
Last updated
12/26/2019
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