| NPI | 1407387848 |
|---|---|
| Doing Business As | JACKSON CLINIC CARDIOTHORACIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |