| NPI | 1972612984 |
|---|---|
| Doing Business As | ACKERMAN MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | GERALD KIMBROUGH Cbo Manager 662-377-4685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |