Organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Active
Parent organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Other names
Lawrence County IOP
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Authorized official
CHARLA ROWLEY (CEO)
(601) 249-1806
Entity
Organization
Contact information
Practice address
1065 E BROAD ST, MONTICELLO, MS 39654-7703
(601) 587-1161
(601) 587-1181
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
(601) 250-4367
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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