| NPI | 1023599594 |
|---|---|
| Doing Business As | JACKSON GENERAL CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRENDA GAIL GREENE Medcial Staff Coordinator 304-373-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2022-03-29 |