Organization · Type 2 NPI
South Central Regional Medical Center
Pediatric Adolescent Medicine Physician · Laurel, MS
NPI number
1821342379
Active
Practice location
234 S 12th Ave
Laurel, MS 39440-4325
Fax (601) 649-7899
Mailing address
PO Box 1649
Laurel, MS 39441-1649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | None listed |
Pediatric Adolescent Medicine Physician: 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.
2 other providers at this address
About NPI 1821342379
South Central Regional Medical Center's National Provider Identifier is 1821342379, issued on Nov 6, 2012. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Laurel, MS. The record was last updated on Nov 6, 2012.