| NPI | 1629559315 |
|---|---|
| Doing Business As | JACKSON GENERAL HOSPITAL ANESTHESIA DEPARTMENT |
| Entity Type | Organization |
| Authorized Contact | BRENDA GAIL GREENE Medical Staff Coordinator 304-373-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |