Organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Active
Parent organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Other names
McComb Surgical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Authorized official
CHARLA ROWLEY CEO (CEO)
(601) 249-1806
Entity
Organization
Contact information
Practice address
1510 HARRISON AVE, MCCOMB, MS 39648-2716
(601) 250-1448
(601) 250-1449
Mailing address
PO BOX 490, MCCOMB, MS 39649
(601) 250-4366
(601) 250-4367
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03225548
—
MS
Enumeration date
03/06/2019
Last updated
05/27/2022
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