NPI | 1205494416 |
---|---|
Doing Business As | JACKSON CLINIC UROGYNECOLOGY |
Doing Business As | JACKSON CLINIC UROGYNECOLOGY - CLANTON |
Doing Business As | JACKSON WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
Organization Subpart ? | No |
Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery |
Enumeration Date | 2019-06-03 |
Last Update Date | 2025-10-01 |