NPI 1023358132

South Central Regional Medical Center

Organisation Vascular & Interventional Radiology Physician Laurel, MS

Practice location

Address: 1410 Jefferson St, Laurel, MS 39440-4243
Phone: (601) 649-5931
Fax: (601) 425-7524

Authorised official

Name: James T Canizaro
Title: Vp of Finance/Cfo
Phone: (601) 399-6139

Registered specialties

Vascular & Interventional Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

Other Radiology providers in Mississippi →

Registry record

NPI: 1023358132
Entity type: Organization
NPI issued: 26 Feb 2013
Record last updated: 12 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.