Organization
CHOCTAW COUNTY
Active
Other names
Choctaw Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS F HIGGINS SR. (PRESIDENT OF THE BOARD)
(662) 285-6329
Entity
Organization
Contact information
Practice address
119 WEST CHERRY STREET, ACKERMAN, MS 39735-0000
(601) 849-1682
(601) 849-1969
Mailing address
119 WEST CHERRY STREET, ACKERMAN, MS 39735-0000
(601) 849-1682
(601) 849-1969
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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