Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Other names
The Womens Clinic of Laurel
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN W BURFORD MSHA (ASSOCIATE EXECUTIVE DIRECTOR)
(601) 426-4415
Entity
Organization
Contact information
Practice address
203 S 12TH AVE, LAUREL, MS 39440-4324
(601) 649-9904
(601) 649-9903
Mailing address
PO BOX 2038, LAUREL, MS 39442-2038
(601) 649-9904
(601) 649-9903
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07653575
—
MS
Enumeration date
05/31/2006
Last updated
08/22/2020
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