| NPI | 1194261669 |
|---|---|
| Doing Business As | JACKSON CLINIC CARDIOLOGY SUITE 402 |
| Entity Type | Organization |
| Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |