| Organization Name: | SOUTH CENTRAL REGIONAL MEDICAL CENTER |
| NPI Number: | 1023358132 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES T CANIZARO (VP OF FINANCE/CFO) |
| Mailing Address: | 1410 Jefferson St Laurel |
| State: | MS US |
| Postal Code: | 394404243 |
| Phone Number: | 6016495931 |
| Fax Number: | 6014257524 |
| NPI Enumeration Date: | 02/26/2013 |
| NPI Last Update Date: | 03/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0204X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Vascular & Interventional Radiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |