NPI | 1538455613 |
---|---|
Doing Business As | JACKSON CLINIC VASCULAR SURGERY |
Entity Type | Organization |
Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
Enumeration Date | 2011-06-27 |
Last Update Date | 2018-06-16 |