| NPI | 1043281553 |
|---|---|
| Other Name | JACKSON HOSPITAL AND CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUSAN TEAL Manager 334-293-8059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-08-22 |