NPI | 1235547878 |
---|---|
Doing Business As | CHOCTAW MEDICAL CLINIC OF ACKERMAN |
Entity Type | Organization |
Authorized Contact | SUSAN HOLLINGSWORTH Administrator & Credentialing 662-285-9460 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2014-07-28 |
Last Update Date | 2025-05-28 |