| NPI | 1215464300 |
|---|---|
| Doing Business As | JACKSON GENERAL SURGERY WOUND CARE |
| Entity Type | Organization |
| Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2018-06-16 |