| NPI | 1376097089 |
|---|---|
| Doing Business As | JACKSON CLINIC INFECTIOUS DISEASE |
| Entity Type | Organization |
| Authorized Contact | KELIN PENNEY Administrator 334-240-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2021-06-22 |