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South Central Regional Medical Center
Pediatric Adolescent Medicine Physician in Ellisville, Mississippi
NPI 1942554761

South Central Regional Medical Center is a Pediatric Adolescent Medicine Physician based in Ellisville, MS and is specialized in Adolescent Medicine. South Central Regional Medical Center practices in Ellisville, MS. The NPI Number for South Central Regional Medical Center is 1942554761 and holds a License No. (Mississippi).

The current practice location address for South Central Regional Medical Center is 1203 Avenue B, Ellisville, MS and can be reached out via phone at 601-477-8553 and via fax at 601-477-9158.

Location: 1203 Avenue B, Ellisville, MS, 39437-2080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942554761
Provider Name
South Central Regional Medical Center
Credential
Provider Entity Type
Organization
Address
1203 Avenue B, Ellisville, MS, 39437-2080
Phone Number
601-477-8553
Fax Number
601-477-9158
Provider Enumeration Date
10/31/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09014135 05 MS
institution
Provider Business Practice Location Address Details
Address
1203 Avenue B
City
Ellisville
State
Mississippi
Zip
39437-2080
Phone Number
601-477-8553
Fax Number
601-477-9158
person
Provider Business Mailing Address Details
Address
1203 Avenue B
City
Ellisville
State
Mississippi
Zip
39437-2080
Phone Number
601-477-8553
Fax Number
601-477-9158
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
()
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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