Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN EAST CFO (CFO)
(601) 426-4000
Entity
Organization
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4024
(601) 426-4909
Mailing address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4024
(601) 426-4034
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
02111/03.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330146
—
MS
Enumeration date
10/27/2006
Last updated
10/08/2025
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