Teresa Randelle Camp-rogers, MD | |
1220 Jefferson St, Laurel, MS 39440-4355 | |
(601) 426-4000 | |
(601) 399-6281 |
Full Name | Teresa Randelle Camp-rogers |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 1220 Jefferson St, Laurel, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265630842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101246070 (Virginia) | Secondary |
207P00000X | Emergency Medicine | 23144 (Mississippi) | Primary |
Entity Name | South Central Clinics, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
Mailing Address | Practice Location Address |
---|---|
Teresa Randelle Camp-rogers, MD Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6167 | Teresa Randelle Camp-rogers, MD 1220 Jefferson St, Laurel, MS 39440-4355 Ph: (601) 426-4000 |
Edmund Chinchar, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 | |
James Boyd Bronson Ii, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 | |
Dr. Michael Gast, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6184 | |
Rebekah Kollar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-426-4105 | |
Dr. George M Loukatos, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4415 | |
Dr. Thomas James Bailey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6281 |