| NPI | 1295727287 |
|---|---|
| Doing Business As | MACT MEDICAL JACKSON |
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER Executive Director 209-754-6262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2022-11-17 |