institution
South Central Regional Medical Center
Pediatric Adolescent Medicine Physician in Laurel, Mississippi
NPI 1821342379

South Central Regional Medical Center is a Pediatric Adolescent Medicine Physician based in Laurel, MS and is specialized in Adolescent Medicine. South Central Regional Medical Center practices in Laurel, MS. The NPI Number for South Central Regional Medical Center is 1821342379 and holds a License No. (Mississippi).

The current practice location address for South Central Regional Medical Center is 234 S 12Th Ave, Laurel, MS and can be reached out via phone at 601-649-3520 and via fax at 601-649-7899.

Location: 234 S 12Th Ave, Laurel, MS, 39441-1649
institution
Provider Profile Details
NPI Number
1821342379
Provider Name
South Central Regional Medical Center
Credential
Provider Entity Type
Organization
Address
234 S 12Th Ave, Laurel, MS, 39441-1649
Phone Number
601-649-3520
Fax Number
601-649-7899
Provider Enumeration Date
11/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08705378 05 MS
institution
Provider Business Practice Location Address Details
Address
234 S 12Th Ave
City
State
Zip
39440-4325
Phone Number
601-649-3520
Fax Number
601-649-7899
person
Provider Business Mailing Address Details
Address
234 S 12Th Ave
City
State
Zip
39440-4325
Phone Number
601-649-3520
Fax Number
601-649-7899
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
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Definition
A pediatrician who 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.
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