Laurel Clinic for Women

Primary specialty

SpecialistTaxonomy code 174400000X

License

03106 Issued in MS

Legal business name

LAUREL CLINIC FOR WOMEN

Practice address

115 S Magnolia St
Laurel, MS 39440-4431

Phone

(601) 428-7221

Fax

(601) 428-7223

NPI assigned

Mar 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charlton R Vincent, M.D.

Title

Physician

Phone

(601) 428-7221

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1972828259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S MAGNOLIA ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404431",
            "telephone_number": "601-428-7221",
            "fax_number": "601-428-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MAGNOLIA ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404431",
            "telephone_number": "601-428-7221",
            "fax_number": "601-428-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL CLINIC FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "CHARLTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "601-428-7221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "03106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian C. Langley, FNP
• Michael D Larochelle, DO
• Laurel Advanced Medical Equipment LLC
• Laurel Bone and Joint Clinic, PA
• Laurel Cancer Care, LLC
• Laurel Dental Properties
• Laurel Ear, Nose, and Throat Surgical Clinic
• Laurel Eye Clinic, PC
• Laurel Oaks Dental Care
• Laurel Obstetrics and Gynecology PA

• Specialist in Laurel, MS
• Providers in Laurel, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.