NPI | 1013433820 |
---|---|
Doing Business As | JACKSON CLINIC UROLOGY TALLASSEE |
Entity Type | Organization |
Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2017-08-15 |
Last Update Date | 2018-06-16 |