Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Parent organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Other names
South Central Internal Medicine Residency Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Authorized official
STEPHEN EAST (CFO)
(601) 399-6144
Entity
Organization
Contact information
Practice address
1203 JEFFERSON ST, LAUREL, MS 39440-4354
(601) 426-4795
(601) 399-6254
Mailing address
PO BOX 607, LAUREL, MS 39441-0607
(601) 426-4795
(601) 399-6254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
07/11/2025
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