| NPI | 1215693171 |
|---|---|
| Other Name | FAMILY MEDICAL CLINIC OF JACKSON |
| Entity Type | Organization |
| Authorized Contact | DEBORAH LEGGETT Owner 731-300-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2022-04-15 |