NPI | 1396996740 |
---|---|
Doing Business As | JACKSONVILLE MEDICAL CARE |
Entity Type | Organization |
Authorized Contact | GARY DREW JACKSON Clinic Administrator 501-985-5994 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2008-10-03 |
Last Update Date | 2011-02-02 |