| NPI | 1639314230 |
|---|---|
| Doing Business As | JACKSON CLINIC |
| Entity Type | Organization |
| Authorized Contact | PETER VERRECCHIA Chief Financial Officer 334-293-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2013-04-17 |