Organization Name: | SOUTH CENTRAL REGIONAL MEDICAL CENTER |
NPI Number: | 1649329475 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES T CANIZARO (CFO) |
Mailing Address: | 1220 Jefferson St Laurel |
State: | MS US |
Postal Code: | 394404355 |
Phone Number: | 6014264000 |
Fax Number: | 6013996254 |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 11/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 11-153 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |