Organization
SOUTH CENTRAL CLINICS, INC
Active
Parent organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Other names
Laurel Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Authorized official
MR. MONICA MORROW (DIRECTOR CLINIC SUPPORT)
(601) 399-6367
Entity
Organization
Contact information
Practice address
1440 JEFFERSON ST, LAUREL, MS 39440-4243
(601) 428-0577
(601) 649-7962
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 428-0577
(601) 649-7962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016136
—
MS
Enumeration date
06/05/2006
Last updated
10/17/2019
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