NPI 1114189644

Och Family Practice Ackerman

Organisation Primary Care Clinic/Center Ackerman, MS

Practice location

Address: 356 E Cherry St, Ackerman, MS 39735-9794
Phone: (662) 285-3243
Fax: (662) 285-3613
Mailing address: PO Box 1327, Starkville, MS 39760-1327

Authorised official

Name: James H. Jackson
Title: Ceo
Phone: (662) 615-2500

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 11-269 (MS)

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1114189644
Entity type: Organization
NPI issued: 26 Jun 2008
Record last updated: 3 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.