| NPI | 1023317666 |
|---|---|
| Doing Business As | JACKSON FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KELIN PENNEY Administrator 334-240-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2015-11-13 |