| NPI | 1548219884 |
|---|---|
| Doing Business As | JACKSON MEDICAL CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | JAMES C BETHEA CEO 601-352-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2009-02-16 |