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Organization

NATCHEZ REGIONAL CLINIC

Active
Parent organization
NATCHEZ REGIONAL MEDICAL CENTER
Other names
Natchez Regional Clinic - OBGYN
Organization subpart
Yes

Provider details

NPI number
Legal business name
NATCHEZ REGIONAL MEDICAL CENTER
Authorized official
CHARLES MOCK (CFO)
(601) 443-2722
Entity
Organization

Contact information

Practice address
46 SGT. S. PRENTISS DR., SUITE 201, NATCHEZ, MS 39120
(601) 442-3701
(601) 442-4785
Mailing address
46 SGT. S. PRENTISS DR., SUITE 201, NATCHEZ, MS 39120
(601) 442-3701
(601) 442-4785

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207V00000X
Obstetrics & Gynecology Physician
208600000X
Surgery Physician
2086S0129X
Vascular Surgery Physician

Other

Enumeration date
09/27/2007
Last updated
12/03/2009
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