South Central Regional Medical Center
Pediatric Adolescent Medicine
South Central Regional Medical Center is a Laurel, Mississippi based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. South Central Regional Medical Center is doing business as
Laurel Pediatric Clinic.
It is located at
234 S 12th Ave, Laurel, Mississippi - 39440-4325. They can be contacted on phone at
601-649-3520 and fax number 601-649-7899.
NPI number (Unique professional ID) for South Central Regional Medical Center is
1821342379 which was assigned by NPPES on 06 Nov, 2012 and it was last updated on 06 Nov, 2012.
South Central Regional Medical Center specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
South Central Regional Medical Center basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | South Central Regional Medical Center |
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| Other Name : | Laurel Pediatric Clinic |
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Business Address:
South Central Regional Medical Center address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 234 S 12th Ave
Laurel, MS, 39440-4325
United States |
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| Phone Number : | 601-649-3520 |
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| Fax Number : | 601-649-7899 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1821342379 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 06 Nov, 2012 |
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| Last Updated On : | 06 Nov, 2012 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jamest Canizaro |
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| Official Title or Position : | VICE PRESIDENT/ C.F.O. |
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| Phone Number : | 601-399-6139 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Central Regional Medical Center are as mentioned. Primary taxonomy code for South Central Regional Medical Center is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of South Central Regional Medical Center such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 08705378 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1649
Laurel, MS, 39441-1649
United States |
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| Phone Number : | 601-425-7583 |
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| Fax Number : | 601-399-6281 |
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Business Location:
Patients can refer following map for directions to
South Central Regional Medical Center practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.