| NPI | 1093894511 |
|---|---|
| Doing Business As | PMG SOUTH GENERAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JOHN W JACKSON Chief Executive Officer 541-732-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-05-12 |