# CHOCTAW COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Weir Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063711349
- **Authorized official:** THOMAS HIGGINS SR. (PRESIDENT OF THE BOARD)
- **Authorized official phone:** (662) 547-9407

## Contact information

- **Practice address:** 780 MAIN STREET, WEIR, MS 39772-0000
- **Practice address phone:** (662) 547-9407
- **Mailing address:** 780 MAIN STREET, WEIR, MS 39772-0000
- **Mailing address phone:** (662) 547-9407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2011
- **Last updated:** 03/25/2011