NPI 1134994528

Southwest Mississippi Regional Medical Center

Organisation Urology Physician Monticello, MS

Practice location

Address: 1065 E Broad St, Monticello, MS 39654-7703
Phone: (601) 250-4344
Fax: (601) 250-4345
Mailing address: PO Box 490, McComb, MS 39649-0490

Authorised official

Name: Charla Rowley
Title: Ceo
Phone: (601) 249-1806

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Mississippi →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Mississippi →

Registry record

NPI: 1134994528
Entity type: Organization
NPI issued: 16 Nov 2023
Record last updated: 16 Nov 2023

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.