Provider Demographics
NPI:1568004893
Name:SOUTH CENTRAL CLINICS, INC.
Entity Type:Organization
Organization Name:SOUTH CENTRAL CLINICS, INC.
Other - Org Name:SOUTH CENTRAL EYE AND LASER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-399-6167
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39441-0247
Mailing Address - Country:US
Mailing Address - Phone:601-399-6367
Mailing Address - Fax:601-399-6184
Practice Address - Street 1:1020 ADAMS ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-4365
Practice Address - Country:US
Practice Address - Phone:601-426-9454
Practice Address - Fax:601-399-6184
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH CENTRAL CLINICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-08
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty