| NPI | 1629647995 |
|---|---|
| Doing Business As | JACKSON SOUTH OB/GYN PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MARK T KNIGHT EVP Cheif Financial Officer 305-585-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-22 |