SOUTH CENTRAL CLINICS INC. NPI 1528498532

NPI Details

SOUTH CENTRAL CLINICS, INC. is an obstetrics gynecology in Ellisville, MS. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SOUTH CENTRAL CLINICS, INC. NPI is 1528498532. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ellisville Ob/gyn Clinic.

The provider's business location address is:

1203 AVENUE B
SUITE 300
ELLISVILLE, MS
ZIP 39437-080
Phone: (601) 477-2226
Fax: (601) 477-2236

The provider's authorized official is Monica Morrow .
The authorized official title is Director Clinic Support and has the following contact phone number (601) 399-6167.

The CLIA number assigned to this NPI record is 25D0957040 - other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/13/2013 and was last updated on 5/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: