| NPI | 1164878856 |
|---|---|
| Doing Business As | JACKSON CLINIC CARDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | KELIN PENNEY Administrator 334-240-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |