| 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 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2018-06-16 |