| NPI | 1306447958 |
|---|---|
| Doing Business As | JACKSON CLINIC COLORECTAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | TARA HERRING Revenue Cycle Director 334-293-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |