| NPI | 1558764266 |
|---|---|
| Doing Business As | JACKSON OBSTETRICS AND GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | TARA K. HERRING Revenue Cycle Director 334-240-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2016-12-29 |