NPI 1174562979

South Central Regional Medical Center

Organisation Obstetrics & Gynecology Physician Laurel, MS

Practice location

Address: 203 S 12th Ave, Laurel, MS 39440
Phone: (601) 426-6961
Fax: (601) 426-3449
Mailing address: PO Box 1649, Laurel, MS 39441-1649

Authorised official

Name: John Chioco
Title: Associate Executive Director
Phone: (601) 426-4501

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Mississippi →

Registry record

NPI: 1174562979
Entity type: Organization
NPI issued: 6 Jun 2006
Record last updated: 31 Dec 2007

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.