South Central Clinics, Inc.

NPI #1619346863 in Laurel, Mississippi

Provider Information

NPI Number: 1619346863
Entity Type: Organization
Organization Name: South Central Clinics, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTH CENTRAL REGIONAL MEDICAL CENTER
Primary Specialty: General Practice
Enumeration Date: Sep 17, 2015
Last Updated: Jan 19, 2017

Practice Location

Address: 1440 JEFFERSON ST
Address 2: SUITE B
City: Laurel
State: Mississippi
ZIP Code: 39440-4243
Phone: (601) 649-6213

Authorized Official

Name: JAMES T CANIZARO
Title: CFO/VP OF FINANCE
Phone: (601) 399-6139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X
General Practice	208D00000X	Primary

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