South Central Regional Medical Center

NPI #1174562979 in Laurel, Mississippi

Provider Information

NPI Number: 1174562979
Entity Type: Organization
Organization Name: South Central Regional Medical Center
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jun 6, 2006
Last Updated: Dec 31, 2007

Practice Location

Address: 203 S 12TH AVE
City: Laurel
State: Mississippi
ZIP Code: 39440
Phone: (601) 426-6961

Authorized Official

Name: MR. JOHN CHIOCO, MSHA
Title: ASSOCIATE EXECUTIVE DIRECTOR
Phone: (601) 426-4501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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