| NPI | 1578758553 |
|---|---|
| Doing Business As | JPL FAMILY MEDICINE, INC |
| Entity Type | Organization |
| Authorized Contact | DERRIC N JACKSON Administraton/COO 334-291-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2023-03-07 |