Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Central Regional Medical Center

Organization Pediatric Adolescent Medicine Physician · NPI 1821342379

South Central Regional Medical Center is a Pediatric Adolescent Medicine Physician in Laurel, Mississippi. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

234 S 12th Ave
Laurel, MS 39440-4325
Phone: (601) 649-3520
Fax: (601) 649-7899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1821342379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Canizaro — Vice President/ C.F.O. · (601) 399-6139
Other names Laurel Pediatric Clinic
NPI enumeratedNovember 6, 2012
Last updated in NPPESNovember 6, 2012
Mailing addressPo Box 1649, Laurel, MS 39441-1649

Other providers in Laurel