NPI | 1245750660 |
---|---|
Doing Business As | JACKSON FAMILY MEDICINE MIDTOWN |
Entity Type | Organization |
Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2017-06-27 |
Last Update Date | 2020-04-07 |