| NPI | 1134417975 |
|---|---|
| Doing Business As | JACKSON GENERAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L MCCOY President/CEO 304-373-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WV 52) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2018-06-20 |