| South Central Gastroenterology | |
|
1203 Jefferson St Laurel MS 39440-4354 | |
| (601) 649-2863 | |
| (601) 649-9479 |
| Full Name | South Central Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1203 Jefferson St, Laurel, Mississippi |
| Authorized Official Name and Position | Monica Morrow (DIRECTOR OF CLINIC SUPPORT) |
| Authorized Official Contact | 6013996167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Gastroenterology Po Box 247 Laurel MS 39441-0247 Ph: (601) 399-6169 | South Central Gastroenterology 1203 Jefferson St Laurel MS 39440-4354 Ph: (601) 649-2863 |
| NPI Number | 1346767852 |
|---|---|
| Provider Enumeration Date | 08/25/2017 |
| Last Update Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346767852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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