| NPI | 1205494416 |
|---|---|
| Doing Business As | JACKSON CLINIC UROGYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |