REGION XII COMMISSION is a general practice in Laurel, MS. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee REGION XII COMMISSION NPI is 1467767988. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Pine Belt Primary Care.
The provider's business location address is:
934 WEST DR
LAUREL, MS
ZIP 39440-702
Phone: (601) 426-7520
The provider's authorized official is Jerry Mayo .
The authorized official title is Executive Director and has the following contact phone number (601) 544-4641.
The enumeration date for this NPI number is 8/9/2010 and was last updated on 8/9/2010.