| NPI | 1578003745 |
|---|---|
| Doing Business As | JACKSON CLINIC CARDIOLOGY SUITE 406 |
| Entity Type | Organization |
| Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |