| NPI | 1093870339 |
|---|---|
| Doing Business As | JACKSON FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | EDWARD C SCHOLL Chief Financial Officer 334-293-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2013-04-10 |