South Central Regional Medical Center
Clinic/Center, Urgent Care in Laurel, MS. Organization (NPI-2).
NPI number1215282991
StatusActive
Last updated in NPPESJul 18, 2012
Details
- NPI
- 1215282991
- Entity type
- Organization (NPI-2)
- Legal business name
- South Central Regional Medical Center
- Organization subpart
- No
- Enumeration date
- Jul 18, 2012
- Last updated
- Jul 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Other names
- South Central Clinic At Wayne Farms (Doing Business As)
Practice location
525 Wayne DriveLaurel, MS 39440
Phone 601-399-7020 · Fax 601-399-6281
Mailing address
525 Wayne Dr.Laurel, MS 39440
Phone 601-399-7020 · Fax 601-399-6281
Authorized official
James T Canizaro
Vice President-Cfo
6013996204
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