| NPI | 1497362172 |
|---|---|
| Doing Business As | JACKSON FAMILY MEDICINE DALRAIDA |
| Entity Type | Organization |
| Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |