NPI | 1053844654 |
---|---|
Doing Business As | JACKSON CLINIC UROLOGY WETUMPKA |
Entity Type | Organization |
Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2017-04-10 |
Last Update Date | 2017-04-10 |