| NPI | 1164987236 |
|---|---|
| Doing Business As | JACKSON SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BARTLEY TEAGUE Executive Director 731-512-1277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |