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General NPI Number Information
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NPI Number | 1417868175
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Entity Type | Organization
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Legal Business Name | SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 1167 E BROAD ST
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City | MONTICELLO
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State | MS
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Zip | 39654-7682
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Country | US
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Telephone | 601-587-1433
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Fax | 601-587-1625
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Provider Business Mailing Address
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Address Line | PO BOX 490
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City | MCCOMB
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State | MS
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Zip | 39649-0490
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Country | US
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Telephone | 601-250-4366
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Fax | 601-250-4367
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Authorized Official
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Title or Position | CEO
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Name | CHARLA ROWLEY
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Credential |
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Telephone | 601-249-1806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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