Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Other names
South Central Reg Med Ctr - ECHO
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN EAST (CFO)
(601) 399-6144
Entity
Organization
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4000
(601) 399-6254
Mailing address
PO BOX 607, LAUREL, MS 39441-0607
(601) 426-4000
(601) 399-6254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11-153
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013368
—
MS
Enumeration date
01/09/2007
Last updated
07/11/2025
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