Organization
CHOCTAW REGIONAL MEDICAL CENTER
Active
Other names
Choctaw Medical Clinic of Ackerman
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HOLLINGSWORTH (ADMINISTRATOR & CREDENTIALING)
(662) 285-9460
Entity
Organization
Contact information
Practice address
64 N LOUISVILLE ST, ACKERMAN, MS 39735-9217
(662) 285-9050
Mailing address
8613 MS HIGHWAY 12, ACKERMAN, MS 39735-8917
(662) 285-9460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
05/28/2025
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