| NPI | 1063712701 |
|---|---|
| Doing Business As | JACKSON ORTHOPEDIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director 877-892-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-12-07 |