Organization
LAUREL CLINIC FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLTON R VINCENT M.D. (PHYSICIAN)
(601) 428-7221
Entity
Organization
Contact information
Practice address
115 S MAGNOLIA ST, LAUREL, MS 39440-4431
(601) 428-7221
(601) 428-7223
Mailing address
115 S MAGNOLIA ST, LAUREL, MS 39440-4431
(601) 428-7221
(601) 428-7223
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03106
MS
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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