| NPI | 1124193354 |
|---|---|
| Doing Business As | BREAST CARE CLINIC OF JACKSON |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L DIAL Owner 601-936-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-09-15 |