| NPI | 1366808404 | 
|---|---|
| Doing Business As | FAMILY MEDICAL OF CLINIC OF JACKSON | 
| Entity Type | Organization | 
| Authorized Contact | SUZIE MURPHY Administrator 251-246-4446 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health | 
| Enumeration Date | 2016-01-05 | 
| Last Update Date | 2025-01-23 |