| NPI | 1487067328 |
|---|---|
| Doing Business As | GREATER JACKSON PHYSICIAN GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | LINDA M SWILLEY Owner 601-968-0985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2016-07-21 |