South Central Regional Medical Center

NPI #1649329475 in Laurel, Mississippi

Provider Information

NPI Number
1649329475
Entity Type
Organization
Organization Name
South Central Regional Medical Center
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Primary Specialty
Dietitian, Registered
Enumeration Date
Jan 10, 2007
Last Updated
Nov 3, 2010

Practice Location

Address
1220 JEFFERSON ST
City
Laurel
ZIP Code
39440-4355
Phone
(601) 426-4000

Authorized Official

Name
JAMES T CANIZARO
Title
CFO
Phone
(601) 426-4504

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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